Spivey, Ethel B.

Spivey, Ethel B. is an individual health care provider with primary practice located at 1997 Highway 51 S , Covington TN 38019-3630. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Spivey, Ethel B. can be contacted via phone (901) 476-8967.

Contact Information

Primary practice address
1997 Highway 51 S Covington TN 38019-3630
Phone: (901) 476-8967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 058818 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11732 Tennessee

Profile Details

NPI number 1447261797
LBN Legal business name Spivey, Ethel B.
Credentials DNP FNP- B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 26th, 2017 - about 7 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 1447261797 NPPES
Tennessee MEDICAID 3641871

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