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1376385005
TRACI L CHILDRESS
JOHNSON CITY, TN
NPI
1376385005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 2024000452)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
TRACI L CHILDRESS APRN, PMHNP-BC
1276 GILBREATH DR
JOHNSON CITY, TN 37614-6503
Phone number: 423-439-1000
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Mailing Address
TRACI L CHILDRESS APRN, PMHNP-BC
278 WOLFE LAUREL DR
MOUNT CARMEL, TN 37645-3041
Phone number: 423-276-2665
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