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MS. PHYLLIS JEAN TRIVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
900 BUFFALO ST, JOHNSON CITY, TN 37604
(423) 232-4130
(423) 232-4145
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN92682
TN

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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