Individual
JOHNNETTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 209-5512
Mailing address
1328 OLD THATCHER RD, SODDY DAISY, TN 37379-3841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176278
TN
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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