Individual
EDEN ELIZA BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 SHERWOOD PLACE WAY, MARYVILLE, TN 37801-4693
(423) 579-2860
Mailing address
109 SHERWOOD PLACE WAY, MARYVILLE, TN 37801-4693
(423) 579-2860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242622
TN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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