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Individual

JANETTE DALTON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
435 2ND ST, NEWPORT, TN 37821-3703
(423) 625-2200
Mailing address
916 HARRISON FERRY RD, WHITE PINE, TN 37890-4903

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5063
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4108255
BCBS OF TN
TN
Enumeration date
05/31/2006
Last updated
07/08/2007
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