GINA M BENTLEY

JOHNSON CITY, TN
NPI1053486274
Former NameGINA M HOUSER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  APN14084)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  RN87906)
Enumeration Date2006-11-22
Last Update Date2009-04-20
Business Address
Mrs. GINA M BENTLEY RN
109 W WATAUGA AVE WATAUGA BEHAVIORAL HEALTH SERVICES
JOHNSON CITY, TN 37604
Phone number: 423-232-2600
Mailing Address
Mrs. GINA M BENTLEY RN
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600