Individual
MRS. SARA MARIE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2431 JONES BEND RD, LOUISVILLE, TN 37777-5216
(833) 291-9707
Mailing address
402 DOGWOOD DR, MARYVILLE, TN 37804-4323
(865) 712-6359
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26198
TN
Other
Enumeration date
07/14/2019
Last updated
06/09/2020
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