Organization
LIVINGSTON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LIVINGSTON (EXECUTIVE OFFICER)
(865) 315-8353
Entity
Organization
Contact information
Practice address
3720 N BROADWAY ST, KNOXVILLE, TN 37917-3120
(865) 315-8353
Mailing address
3720 N BROADWAY ST, KNOXVILLE, TN 37917-3120
(865) 315-8353
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
13406
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506408
—
TN
01
—
1629527833
NPI
TN
01
—
1689123887
NPI
TN
Enumeration date
03/13/2017
Last updated
03/13/2017
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