Individual
MR. RONNIE RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 OLD JEFFERSON STREET, CELINA, TN 38551
(931) 243-3581
Mailing address
100 OLD JEFFERSON STREET, CELINA, TN 38551
(931) 243-3581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12318
TN
363L00000X
Nurse Practitioner
3010958
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4136449
BCBS
TN
Enumeration date
10/10/2006
Last updated
09/04/2019
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