Rice, Judith A.
Rice, Judith A. is an individual health care provider with primary practice located at 202 W. Fairview Aveneu , Johnson City TN 37604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rice, Judith A. can be contacted via phone (423) 434-6478.Contact Information
Primary practice address
202 W. Fairview Aveneu
Johnson City TN 37604
Phone: (423) 434-6478
Fax: (423) 434-0666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN006995 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | APN6995 | Tennessee |
Profile Details
| NPI number | 1770512642 |
|---|---|
| LBN Legal business name | Rice, Judith A. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jan 14th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770512642 | NPPES |
| Tennessee | MEDICAID | 1527509 | |
| Tennessee | Other | 100040291 | |
| Tennessee | Other | JTN0178 | |
| Tennessee | Other | 4284574 |
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