Individual provider · Type 1 NPI

Thelia Jean Pettigrew, LPN

Licensed Practical Nurse · Johnson City, TN

NPI number 1033459508 Active

Practice location

219 Princeton Rd
Johnson City, TN 37601-2052

Call (423) 975-2200 Map

Mailing address

4368 Clear Springs Rd
Limestone, TN 37681-5044

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN0000067544 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1033459508

Thelia Jean Pettigrew, LPN's National Provider Identifier is 1033459508, issued on Feb 21, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Johnson City, TN. The record was last updated on Feb 21, 2013.