Individual
DEBRA D DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2533 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4775
(423) 354-1415
Mailing address
2533 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4775
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
128167
TN
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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