Individual
MRS. INGRID RENE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
295 SCISSOMTOWN RD, WHITWELL, TN 37397-6601
(423) 658-9975
Mailing address
295 SCISSOMTOWN RD, WHITWELL, TN 37397-6601
(423) 658-9975
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000105970
TN
Other
Enumeration date
05/01/2007
Last updated
04/03/2017
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