Individual
BETHEL SEBSIBE DUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
PO BOX 123, JOHNSON CITY, TN 37605-0123
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PENDING
TN
Other
Enumeration date
03/16/2021
Last updated
05/26/2022
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