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Kisandra Leigh Rickard, APRN
Pediatric Nurse Practitioner in La Follette, Tennessee
NPI 1558832758

Kisandra Leigh Rickard is a Pediatric Nurse Practitioner based in Tazewell, TN and is specialized in Pediatrics. Kisandra Leigh Rickard practices in La Follette, TN and has the professional credentials of APRN. The NPI Number for Kisandra Leigh Rickard is 1558832758 and holds a License No. 363LP0200X (Tennessee).

The current practice location address for Kisandra Leigh Rickard is 304 E Central Ave, La Follette, TN and can be reached out via phone at 423-437-8612.

Location: 304 E Central Ave, La Follette, TN, 37879-5300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558832758
Provider Name
Kisandra Leigh Rickard
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
304 E Central Ave, La Follette, TN, 37879-5300
Phone Number
423-437-8612
Fax Number
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
304 E Central Ave
City
La Follette
State
Tennessee
Zip
37766-3617
Phone Number
423-437-8612
Fax Number
person
Provider Business Mailing Address Details
Address
304 E Central Ave
City
La Follette
State
Tennessee
Zip
37766-3617
Phone Number
423-437-8612
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
363LP0200X (Ohio)
Definition
Definition to come...
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