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Individual

MS. ETHEL B. SPIVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP FNP- B.C.

Contact information

Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
6474 HIGHWAY 51 N, RIPLEY, TN 38063-7022

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
058818
TN
363LF0000X
Family Nurse Practitioner
Primary
11732
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3641871
TN
Enumeration date
08/11/2006
Last updated
07/26/2017
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