Individual
YANCEE S NIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
200 W FAIRVIEW AVE, JOHNSON CITY, TN 37604-5611
(877) 928-9062
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000163594
TN
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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