Individual
MRS. JEANNIE MARIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
430 COLLEGE ST, NEWPORT, TN 37821-3752
(423) 623-8733
(423) 623-0874
Mailing address
1736 ALLEN CHAPEL RD, PARROTTSVILLE, TN 37843-2711
(423) 613-0610
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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