Individual
CORY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1621 W MORRIS BLVD STE C, MORRISTOWN, TN 37813-2969
(423) 317-7412
(423) 317-7415
Mailing address
1621 W MORRIS BLVD STE C, MORRISTOWN, TN 37813-2969
(423) 317-7412
(423) 317-7415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000019620
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000019620
LICENSE
TN
Enumeration date
02/16/2015
Last updated
02/16/2015
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