Dawn Marie Horn, LPN

Individual provider Active NPI Licensed Practical Nurse · Blountville, TN

NPI 1508991019 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1508991019
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000045805 (TN)
Practice address
154 Blountville Bypass
Blountville, TN 37617
Phone
(423) 279-2777
NPI assigned
Feb 23, 2007
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
LPN0000045805TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000045805 TN Yes

Addresses

Primary practice location

154 Blountville Bypass
Blountville, TN 37617

Mailing address

PO Box 630
Blountville, TN 37617-0630
Phone (423) 279-2777

Other providers in Blountville, TN

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

Sources for this page

Verify at the official NPI Registry.