Roberson Rike Clinic

Organization Active NPI Family Nurse Practitioner · Tiptonville, TN

NPI 1821383670 · NPPES record last updated Aug 21, 2012

Key facts

NPI
1821383670
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
ROBERSON RIKE CLINIC
Practice address
768 Everett St.
Tiptonville, TN 38079
Phone
(731) 253-3760
NPI assigned
Jun 9, 2011
Organization subpart
No

Authorized official

Name
Donna Rike, FNP
Title
Owner
Phone
(731) 253-3760

National Provider Directory

Locations

768 Everett St
Tiptonville, TN 38079
Phone (731) 253-3760

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

768 Everett St.
Tiptonville, TN 38079

Mailing address

768 Everett St.
Tiptonville, TN 38079
Phone (731) 253-3760

Other identifiers

IdentifierTypeStateIssuer
1524187MedicaidTN

Other providers in Tiptonville, TN

All providers in Tiptonville, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.