Individual
KATELYN ANN JANNENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3209 BRISTOL HWY, JOHNSON CITY, TN 37601-1515
(423) 282-3311
Mailing address
451 N PICKENS BRIDGE RD UNIT 205, PINEY FLATS, TN 37686-4198
(423) 360-2625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219799
TN
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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