Individual
DEBBIE A POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
169 WESTMORELAND ST, HARROGATE, TN 37752
(423) 869-3700
(423) 869-5555
Mailing address
PO BOX 720, HARROGATE, TN 37752
(423) 869-3700
(423) 869-5555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6507
TN
363LF0000X
Family Nurse Practitioner
APN0000006507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003902572
—
TN
Enumeration date
10/19/2006
Last updated
06/24/2013
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