Individual
PATRICIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 484-9511
Mailing address
PO BOX 634909, CINCINNATI, OH 45263-4909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7087
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4069005
BCBS OF TN
TN
01
—
P00295810
RAILROAD MEDICARE
TN
Enumeration date
06/28/2006
Last updated
11/14/2007
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