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Individual

JUDITH A. RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
202 W. FAIRVIEW AVENEU, JOHNSON CITY, TN 37604
(423) 434-6478
(423) 434-0666
Mailing address
365 STOUT DRIVE BOX70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-4060

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN006995
TN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APN6995
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100040291
PHP
TN
05
1527509
TN
01
4284574
BCBST
TN
01
JTN0178
JOHN DEERE
TN
Enumeration date
07/02/2006
Last updated
01/14/2020
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