Octavia Lynne Flanagan RN, PHD

NPI 1083045074 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1083045074
Gender Female
Enumeration Date 12/02/2013
Last Updated 06/08/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
2151 CENTURY LN
JOHNSON CITY TN, 37604-4469, US
Phone (423) 926-2500
Fax (423) 926-5999
Business Location
365 STOUT DRIVE BOX 70403
JOHNSON CITY TN, 37614-1703, US
Phone (423) 439-4515
Fax (828) 227-7467
Toxanomy
Taxonomy Code 363LW0102X
License State North Carolina
License Number 940006
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According to our database, Dr. Octavia Lynne Flanagan RN, PHD NPI is 1083045074, taxonomy code is 363LW0102X and license number is 940006, license state is located at North Carolina. Octavia Lynne Flanagan RN, PHD physically located at 2151 Century Ln, Johnson City TN, 37604-4469. NPI Number Octavia Lynne Flanagan RN, PHD has the Individual type.

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1083045074 NPI number is provided on an as is basis without warranty of any kind. 1083045074 is maintained by the National Plan & Provider Enumeration System. The contents of Octavia Lynne Flanagan RN, PHD are for informational purposes only.