Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 29042 | TN |
NPI | 1225623127 |
---|---|
Provider Name | Abbey Nicole Claborn |
First Address | Decatur, AL 35603-1169 |
Second Address | Knoxville, TN 37920-1546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2021 |
Last Update Date | 03/03/2021 |