VIVID PATH LLC

KNOXVILLE, TN
NPI1356136501
Entity TypeOrganization
Authorized ContactAMBER JORDAN
Owner
865-217-6080
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-04-10
Last Update Date2025-10-03
Business Address
VIVID PATH LLC
9050 EXECUTIVE PARK DR STE 109A
KNOXVILLE, TN 37923-4669
Phone number: 865-217-6080
Mailing Address
VIVID PATH LLC
9050 EXECUTIVE PARK DR STE 109A
KNOXVILLE, TN 37923-4669
Phone number: 865-217-6080
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