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Abby Provencal, APRN
Family Nurse Practitioner in Cosby, Tennessee
NPI 1881267441

Abby Provencal is a Family Nurse Practitioner based in Cosby, TN and is specialized in Family. Abby Provencal practices in Cosby, TN and has the professional credentials of APRN. The NPI Number for Abby Provencal is 1881267441 and holds a License No. 29912 (Tennessee).

The current practice location address for Abby Provencal is 842 Yellow Springs Rd, Cosby, TN and can be reached out via phone at 423-721-2929.

Location: 842 Yellow Springs Rd, Cosby, TN, 37722-3443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881267441
Provider Name
Abby Provencal
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
842 Yellow Springs Rd, Cosby, TN, 37722-3443
Phone Number
423-721-2929
Fax Number
Provider Enumeration Date
07/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29912 01 TN APRN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
842 Yellow Springs Rd
City
Cosby
State
Tennessee
Zip
37722-3443
Phone Number
423-721-2929
Fax Number
person
Provider Business Mailing Address Details
Address
842 Yellow Springs Rd
City
Cosby
State
Tennessee
Zip
37722-3443
Phone Number
423-721-2929
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
29912 (Tennessee)
Definition
Definition to come...
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