PRABHA JAISHWAL LONG

ELIZABETHTON, TN
NPI1760965628
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  24448)
Enumeration Date2018-09-07
Last Update Date2018-09-07
Business Address
Mrs. PRABHA JAISHWAL LONG FNP
1505 W ELK AVE STE 2
ELIZABETHTON, TN 37643-2848
Phone number: 423-543-1261
Mailing Address
Mrs. PRABHA JAISHWAL LONG FNP
1505 W ELK AVE STE 2
ELIZABETHTON, TN 37643-2848
Phone number: 423-543-1261
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