Individual
MS. JANICE CAROL REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2116 MEMORIAL CT, KINGSPORT, TN 37664-2629
(423) 646-2424
Mailing address
2116 MEMORIAL CT, KINGSPORT, TN 37664-2629
(423) 646-2424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024164113
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000005996
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0939
—
SC
Enumeration date
11/22/2005
Last updated
04/18/2012
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