Individual
CHESNIE MAE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 TREASURE LN, JOHNSON CITY, TN 37604-7816
(423) 979-4607
Mailing address
307 E D ST, ELIZABETHTON, TN 37643-2705
(423) 213-9517
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
222674
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222674
REGISTERED NURSE LICENSE
TN
Enumeration date
09/08/2021
Last updated
09/08/2021
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