KISANDRA LEIGH RICKARD

TAZEWELL, TN
NPI1558832758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: TN  29250)
Enumeration Date2018-12-16
Last Update Date2024-08-15
Business Address
KISANDRA LEIGH RICKARD APRN
1610 TAZEWELL ROAD SUITE 203
TAZEWELL, TN 37879-3648
Phone number: 423-259-3701
Mailing Address
KISANDRA LEIGH RICKARD APRN
PO BOX 15004
KNOXVILLE, TN 37901-5004
Phone number: 865-541-8895