Individual
REBECCA L BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5621
(423) 232-2600
(423) 232-2646
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 464-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002073430
VA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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