Individual
ANDREE CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
604 DWIGHT LN, SEVIERVILLE, TN 37876-1587
(678) 776-2119
Mailing address
604 DWIGHT LN, SEVIERVILLE, TN 37876-1587
(678) 776-2119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
99060
TN
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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