Gary R Bickford, PhD, FNP-BC
Nurse Practitioner, Family in Knoxville, TN. Individual provider (NPI-1).
NPI number1700923331
StatusActive
Last updated in NPPESJul 15, 2011
Details
- NPI
- 1700923331
- Entity type
- Individual (NPI-1)
- Name
- Gary R Bickford
- Credential
- PhD, FNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 31, 2007
- Last updated
- Jul 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APN0000012264 | TN | Yes |
Practice location
110 Perimeter Park RdSuite G
Knoxville, TN 37922-2200
Phone 865-247-6340 · Fax 865-241-5966
Mailing address
110 Perimeter Park RdSuite G
Knoxville, TN 37922-2200
Phone 865-247-6340 · Fax 865-241-5966
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