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Search › Tennessee › 164W00000X

Ivan Pickle, LPN

NPI 1891239349 · on the registry since 2016 · sole proprietor

Practice

Address
400 N State Of Franklin Rd
Johnson City, TN 37604
Phone
(423) 431-1410
Fax
(423) 431-6370
Organisation at this address
Johnson City Medical Center
Mountain States Health Alliance
Watauga Pathology Associates Pc
Mountain States Health Alliance
Mountain States Health Alliance
Inferred from a shared address, not stated in the registry.
Clinicians at this address
174

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee