Individual
HEYDON BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 WASHINGTON PIKE, KNOXVILLE, TN 37917-4636
(931) 316-1910
Mailing address
1701 WASHINGTON PIKE, KNOXVILLE, TN 37917-4636
(931) 316-1910
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
268013
TN
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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