person
Mrs. Constance Sue Lackner, MSNAPRNBC
Psychiatric/Mental Health Nurse Practitioner in Rogersville, Tennessee
NPI 1922068022

Constance Sue Lackner is a Psychiatric/Mental Health Nurse Practitioner based in Gray, TN and is specialized in Psychiatric/Mental Health. Constance Sue Lackner practices in Rogersville, TN and has the professional credentials of MSNAPRNBC. The NPI Number for Constance Sue Lackner is 1922068022 and holds a License No. 0024182053 (Tennessee).

The current practice location address for Constance Sue Lackner is 101 Lena Dr, Rogersville, TN and can be reached out via phone at 423-272-9239 and via fax at 423-272-1803.

Location: 101 Lena Dr, Rogersville, TN, 37615-6205
person
Provider Profile Details
NPI Number
1922068022
Provider Name
Constance Sue Lackner
Credential
MSNAPRNBC
Provider Entity Type
Individual
Gender
Female
Address
101 Lena Dr, Rogersville, TN, 37615-6205
Phone Number
423-272-9239
Fax Number
423-272-1803
Provider Enumeration Date
03/24/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3143910 01 TN BLUE CROSS BLUE SHIELD
890000552 01 RAILROAD PROVIDER
3345085 05 TN
institution
Provider Business Practice Location Address Details
Address
101 Lena Dr
City
State
Zip
37857-2951
Phone Number
423-272-9239
Fax Number
423-272-1803
person
Provider Business Mailing Address Details
Address
101 Lena Dr
City
State
Zip
37857-2951
Phone Number
423-272-9239
Fax Number
423-272-1803
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0024182053 (Virginia)
Definition
Definition to come...
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