Individual
ALLI N RICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 N MAIN ST, GREENEVILLE, TN 37745-3815
(423) 787-6050
(423) 787-6054
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22376
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027647
—
TN
Enumeration date
03/23/2017
Last updated
09/28/2021
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