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Individual

CHRISTINE BROCK LANDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6112 PINEY BLUFF RD, BARTLETT, TN 38135-6173
(901) 232-7557
Mailing address
6112 PINEY BLUFF RD, BARTLETT, TN 38135-6173
(901) 232-7557

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
092816
AR
376G00000X
Nursing Home Administrator
3965
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R092816
REGISTERED LICENSE NUMBER
AR
Enumeration date
06/09/2021
Last updated
06/09/2021
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