Pettigrew, Thelia Jean

Pettigrew, Thelia Jean is an individual health care provider with primary practice located at 219 Princeton Rd , Johnson City TN 37601-2052. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pettigrew, Thelia Jean can be contacted via phone (423) 975-2200.

Contact Information

Primary practice address
219 Princeton Rd Johnson City TN 37601-2052
Phone: (423) 975-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN0000067544 Tennessee

Profile Details

NPI number 1033459508
LBN Legal business name Pettigrew, Thelia Jean
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2013
Last updated Feb 21st, 2013 - about 11 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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