Individual
JOHN RICHARD LONGENECKER
Active
Individual
JOHN RICHARD LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240801
TN
163W00000X
Registered Nurse
484230
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
0028218
OH
363LA2100X
Acute Care Nurse Practitioner
28513
TN
Other
Enumeration date
12/09/2020
Last updated
01/01/2021
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