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Individual

JANET W. POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
329 COATSLAND DR, JACKSON, TN 38301-3912
(731) 425-5080
(731) 660-8739
Mailing address
2050 MEADOWVIEW PARKWAY, KINGSPORT, TN 37660
(423) 230-5000
(423) 230-5010

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5754
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3909427
TN
01
P01221178
RR MEDICARE
TN
Enumeration date
07/18/2006
Last updated
09/06/2024
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