Individual
MARY JANE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-1619
Mailing address
101 CHADWICK CIR, JOHNSON CITY, TN 37601-1090
(423) 262-9536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000135371
TN
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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