Individual
MITZI COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 HOLSTON DR, NOLACKUCKEY MENTAL HEALTH CENTER, GREENEVILLE, TN 37743
(423) 639-1104
(423) 636-8365
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN18635
TN
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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