Individual
GWENDOLYN CARLENE RICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2202 MARTIN LUTHER KING JR AVE, KNOXVILLE, TN 37915-1510
(865) 215-5470
(865) 215-5009
Mailing address
6408 OLD MAYNARDVILLE PIKE, KNOXVILLE, TN 37918-5132
(865) 687-3902
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000083027
TN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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