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Thelia Jean Pettigrew, LPN
Licensed Practical Nurse in Johnson City, Tennessee
NPI 1033459508

Thelia Jean Pettigrew is a Licensed Practical Nurse based in Limestone, TN. Thelia Jean Pettigrew practices in Johnson City, TN and has the professional credentials of LPN. The NPI Number for Thelia Jean Pettigrew is 1033459508 and holds a License No. LPN0000067544 (Tennessee).

The current practice location address for Thelia Jean Pettigrew is 219 Princeton Rd, Johnson City, TN and can be reached out via phone at 423-975-2200. You can also correspond with Thelia Jean Pettigrew through the mailing address at 4368 CLEAR SPRINGS RD, LIMESTONE, TN - 37681-5044 (mailing address contact number: 423-257-8869).

Location: 219 Princeton Rd, Johnson City, TN, 37681-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033459508
Provider Name
Thelia Jean Pettigrew
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
219 Princeton Rd, Johnson City, TN, 37681-5044
Phone Number
423-975-2200
Fax Number
Provider Enumeration Date
02/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
219 Princeton Rd
City
Johnson City
State
Tennessee
Zip
37601-2052
Phone Number
423-975-2200
Fax Number
person
Provider Business Mailing Address Details
Address
4368 Clear Springs Rd
City
Limestone
State
Tennessee
Zip
37681-5044
Phone Number
423-257-8869
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN0000067544 (Tennessee)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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