Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN29704 | TN |
NPI | 1003345513 |
---|---|
Provider Name | Abigail Rose Sinders Tungett |
First Address | Morristown, TN 37813-5654 |
Second Address | Lenoir City, TN 37771-6719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2017 |
Last Update Date | 20/07/2021 |