Lively, Jeannette A.

Lively, Jeannette A. is an individual health care provider with primary practice located at 1021 Coolidge St Suite 2, Greeneville TN 37743-4672. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Lively, Jeannette A. can be contacted via phone (423) 636-2300.

Contact Information

Primary practice address
1021 Coolidge St Suite 2 Greeneville TN 37743-4672
Phone: (423) 636-2300
Fax: (423) 636-0348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X RN0000120048 Tennessee

Profile Details

NPI number 1427130178
LBN Legal business name Lively, Jeannette A.
Credentials RN, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427130178 NPPES
Tennessee Other 1053402701 GROUP NPI
Tennessee MEDICAID 3661167 GROUP NPI
Tennessee Other 3661167 GROUP NPI
Tennessee Other 1427130178 GROUP NPI

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