Individual
JOHNNY RAY RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
108 LOVELL RD, SUITE B, KNOXVILLE, TN 37934-1903
(865) 288-7777
(865) 288-7775
Mailing address
108 LOVELL RD, SUITE B, KNOXVILLE, TN 37934-1903
(865) 288-7777
(865) 288-7775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN20336
TN
363LP2300X
Primary Care Nurse Practitioner
20336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20336
LICENSE NUMBER
TN
Enumeration date
09/01/2015
Last updated
02/13/2024
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