Individual
DEBRA ACHENBACH KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
412 DEVONIA ST, HARRIMAN, TN 37748-2009
(865) 882-4379
Mailing address
PO BOX 634909, CINCINNATI, OH 45263-4909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3648611
—
TN
01
—
4105147
BCBS OF TENNESSEE
TN
01
—
P00310668
RAILROAD MEDICARE
TN
Enumeration date
06/22/2006
Last updated
06/30/2020
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