Individual
SARAH CLIPSE LEGASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
805 BEECHWOOD DR, KINGSPORT, TN 37663-2436
(423) 863-4182
Mailing address
805 BEECHWOOD DR, KINGSPORT, TN 37663-2436
(423) 863-4182
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
167788
TN
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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