Individual
JOAN ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
319 BROAD ST, BAXTER, TN 38544-5117
(931) 858-2116
(931) 858-2117
Mailing address
319 BROAD ST, PO BOX 175, BAXTER, TN 38544
(931) 858-2116
(931) 858-2117
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
20478
TN
363LG0600X
Gerontology Nurse Practitioner
20478
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
20478
TN
Other
Enumeration date
10/06/2015
Last updated
03/17/2018
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