NPI Profile for JOANN CONGER in TENNESSEE RIDGE, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
General Practice |
163WG0000X | |||
Psychiatric/Mental Health |
163WP0808X |
| NPI Number | 1477635407 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 10/19/2006 | |
| Last updated | 05/19/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOANN CONGER
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