Individual
JENNIE R. HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
125 EAST TOWN CREEK RD., SUITE 2B, LENOIR CITY, TN 37772
(865) 986-1400
(865) 986-9400
Mailing address
125 EAST TOWN CREEK RD., SUITE 2B, LENOIR CITY, TN 37772
(865) 986-1400
(865) 986-9400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000007928
TN
Other
Enumeration date
05/24/2007
Last updated
12/01/2009
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