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Individual

JOAN H LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2300 HENRY STREET, DYERSBURG, TN 38024-5341
(731) 287-1794
(731) 287-1795
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(731) 287-1794
(731) 287-1795

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
67188
TN
363L00000X
Nurse Practitioner
Primary
APN0000005963
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2268888
CIGNA BEHAVIORAL
TN
05
3928411
TN
01
4099816
BCBS
TN
Enumeration date
02/02/2007
Last updated
05/10/2010
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