Individual
JEANNIE B LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
407 4TH ST, NEWPORT, TN 37821-3755
(423) 623-6240
(423) 623-0102
Mailing address
407 4TH ST, NEWPORT, TN 37821-3755
(423) 623-6240
(423) 623-0102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN16750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530099
—
TN
Enumeration date
07/31/2012
Last updated
11/07/2013
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