Pendergrass, Joe Taylor
Pendergrass, Joe Taylor is an individual health care provider with primary practice located at 804 Bristol Caverns Hwy , Bristol TN 37620-9456. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Pendergrass, Joe Taylor can be contacted via phone (423) 534-6322.Contact Information
Primary practice address
804 Bristol Caverns Hwy
Bristol TN 37620-9456
Phone: (423) 534-6322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 222207 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 36044 | Tennessee |
Profile Details
| NPI number | 1124725692 |
|---|---|
| LBN Legal business name | Pendergrass, Joe Taylor |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2023 |
| Last updated | Jun 27th, 2024 - about last year |
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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