Mickie Cody
Individual provider Active NPI Licensed Practical Nurse · Talbott, TN
NPI 1083175632 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1083175632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 75643 (TN)
- Practice address
- 6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605 - Phone
- (423) 587-7337
- Fax
- (423) 586-0614
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75643 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 75643 | TN | Yes |
Addresses
Primary practice location
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Other providers in Talbott, TN
- Cherokee Health Systems
- Cherokee Health Systems
- Chiropractic Center, P.C.
- Shallon Andrea Church
- Stephen L Clarke
- Kenny Richard Cogburn
- Regina Nepomuceno Coleman
- Karen Keeter Collins
- Madison Victoria Conley
- Barbara Michelle Cook
All providers in Talbott, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.