Individual
ABBY REBECCA CARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1646 RUSSELL AVE, JEFFERSON CITY, TN 37760-2204
(865) 635-9637
Mailing address
147 FAIRWAY DR, JOHNSON CITY, TN 37615-2301
(423) 863-3556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
40411
TN
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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