Individual
MARJORIE N LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, FNP
Contact information
Practice address
4261 BIG CREEK RD, HARTFORD, TN 37753-2220
(423) 487-2240
(423) 487-3707
Mailing address
4261 BIG CREEK RD, HARTFORD, TN 37753-2220
(423) 487-2240
(423) 487-3707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN53243
TN
363L00000X
Nurse Practitioner
Primary
APN5598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100010532
PHP TENNCARE
TN
01
—
3032441
BLUECARE-GRASSY FORK
TN
01
—
3032442
BCBST
TN
05
—
3343881
—
TN
Enumeration date
01/26/2006
Last updated
10/26/2010
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