Individual provider · Type 1 NPI

Beulah Lane, RN

Registered Nurse · Johnson City, TN

NPI number 1275819559 Active

Practice location

200 W Fairview Ave
Johnson City, TN 37604-5611

Fax (423) 467-3644

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN064030 (TN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1275819559

Beulah Lane, RN's National Provider Identifier is 1275819559, issued on Oct 31, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Johnson City, TN. The record was last updated on Oct 31, 2011.