Individual
JANICE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
626 BERNARD AVE, KNOXVILLE, TN 37921-6253
(865) 522-0161
Mailing address
626 BERNARD AVE, KNOXVILLE, TN 37921-6253
(865) 522-0161
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28844
TN
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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