Individual
PAIGE LEIGH MINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 578-0118
Mailing address
131 JACK MARTIN LN, GRAY, TN 37615-4105
(423) 578-0118
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
APN0000014500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/19/2018
Last updated
03/19/2018
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