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Janice Mccracken
Specialist in Bristol, Tennessee
NPI 1265142160

Janice Mccracken is a Specialist based in Bristol, TN. Janice Mccracken practices in Bristol, TN. The NPI Number for Janice Mccracken is 1265142160 and holds a License No. 0041090 (Tennessee).

The current practice location address for Janice Mccracken is 1850 Edgemont Ave, Bristol, TN and can be reached out via phone at 423-573-8500 and via fax at 423-573-8501.

Location: 1850 Edgemont Ave, Bristol, TN, 37620-4309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265142160
Provider Name
Janice Mccracken
Credential
Provider Entity Type
Individual
Gender
Female
Address
1850 Edgemont Ave, Bristol, TN, 37620-4309
Phone Number
423-573-8500
Fax Number
423-573-8501
Provider Enumeration Date
12/01/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
542006311 01 TN TAX ID
institution
Provider Business Practice Location Address Details
Address
1850 Edgemont Ave
City
Bristol
State
Tennessee
Zip
37620-4309
Phone Number
423-573-8500
Fax Number
423-573-8501
person
Provider Business Mailing Address Details
Address
1850 Edgemont Ave
City
Bristol
State
Tennessee
Zip
37620-4309
Phone Number
423-573-8500
Fax Number
423-573-8501
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0041090 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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