Rhonda Nadine Long, LPN

Individual provider Active NPI Licensed Practical Nurse · Lawrenceburg, TN

NPI 1497097281 · NPPES record last updated Mar 20, 2013

Key facts

NPI
1497097281
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
0000072825 (TN)
Practice address
2379 Buffalo Rd
Lawrenceburg, TN 38464-4810
Phone
(931) 762-9406
Fax
(931) 766-1592
NPI assigned
Mar 20, 2013
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

LicenseStateTypeSpecialty
0000072825TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0000072825 TN Yes

Addresses

Primary practice location

2379 Buffalo Rd
Lawrenceburg, TN 38464-4810

Mailing address

2379 Buffalo Road
Lawrenceburg, TN 38464
Phone (931) 762-9406

Other providers in Lawrenceburg, TN

All providers in Lawrenceburg, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.