GENESIA DICKSON IRICK

KINGSPORT, TN
NPI1811431406
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  22008)
Enumeration Date2016-12-15
Last Update Date2016-12-15
Business Address
-- GENESIA DICKSON IRICK FNP
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663-3936
Phone number: 423-279-1400
Mailing Address
-- GENESIA DICKSON IRICK FNP
2756 BOB LITTLE RD
ELIZABETHTON, TN 37643-7222
Phone number: 423-202-2274