Individual
MRS. NEVA GAIL ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
592 SUMMERVILLE RD, KINGSPORT, TN 37663-3100
(423) 239-7681
Mailing address
592 SUMMERVILLE RD, KINGSPORT, TN 37663-3100
(423) 239-7681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000047239
TN
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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