Firestone, Lori Ann

Firestone, Lori Ann is an sole proprietor health care provider with primary practice located at 3555 Keith St Nw Suite 102, Cleveland TN 37312-4375. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Firestone, Lori Ann can be contacted via phone (423) 728-2282.

Contact Information

Primary practice address
3555 Keith St Nw Suite 102 Cleveland TN 37312-4375
Phone: (423) 728-2282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN116297 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN7647 Tennessee

Profile Details

NPI number 1922145283
LBN Legal business name Firestone, Lori Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922145283 NPPES
Tennessee Other 4186544 BCBS

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