Individual
HEATHER THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-1440
Mailing address
1474 GRASSY CREEK RD, ROGERSVILLE, TN 37857-5736
(303) 656-8913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243175
TN
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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