Individual
JANET ELDRIDGE ISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1362 N. GATEWAY AVE, ROCKWOOD, TN 37854
(865) 354-1220
(865) 354-0112
Mailing address
1362 N. GATEWAY AVE, ROCKWOOD, TN 37854
(865) 354-1220
(865) 354-0112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000025757
TN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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