Mickie Cody
Licensed Practical Nurse in Talbott, TN. Individual provider (NPI-1).
NPI number1083175632
StatusActive
Last updated in NPPESMar 27, 2019
Details
- NPI
- 1083175632
- Entity type
- Individual (NPI-1)
- Name
- Mickie Cody
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Last updated
- Mar 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 75643 | TN | Yes |
Practice location
6350 W Andrew Johnson HwyTalbott, TN 37877-8605
Phone 423-587-7337 · Fax 423-586-0614
Mailing address
1923 Sulphur Springs RdMorristown, TN 37813-5654
Phone 423-317-9344
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All 10 Licensed Practical Nurse providers in Talbott · All 192 providers in Talbott
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