Individual
CHRISTA ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-8593
Mailing address
284 PEA RIDGE RD, ELMWOOD, TN 38560-4208
(615) 417-2207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53760
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53760
LPN LICENSE
TN
Enumeration date
01/22/2013
Last updated
01/22/2013
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