Individual
HEATHER RENEA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 COLLEGE ST, NEWPORT, TN 37821-3752
(423) 623-8733
(423) 623-0874
Mailing address
430 COLLEGE ST, NEWPORT, TN 37821-3752
(423) 623-8733
(423) 623-0874
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72782
TN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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