Individual
ADRIANNE GABRIELLE VALERIE VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1003 E JACKSON BLVD STE 3, JONESBOROUGH, TN 37659-1531
(423) 753-6077
Mailing address
63 RHETTS WAY, JONESBOROUGH, TN 37659-3080
(423) 895-4689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
33063
TN
363LA2100X
Acute Care Nurse Practitioner
33063
TN
363LF0000X
Family Nurse Practitioner
33063
TN
363LP2300X
Primary Care Nurse Practitioner
33063
TN
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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