Wayne Rock, RN
Registered Nurse, Psych/Mental Health in Johnson City, TN. Individual provider (NPI-1).
NPI number1992469696
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1992469696
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wayne Rock
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2021
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 240449 | TN | Yes |
Practice location
109 W Watauga AveJohnson City, TN 37604-5621
Phone 423-232-2600 · Fax 423-467-3644
Mailing address
1167 Spratlin Park DrGray, TN 37615-6205
Phone 423-467-3600 · Fax 423-467-3644
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