Individual provider · Type 1 NPI
Abby Provencal, APRN
Family Nurse Practitioner · Cosby, TN
NPI number
1881267441
Active
Practice location
842 Yellow Springs Rd
Cosby, TN 37722-3443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 29912 (TN) |
Family Nurse Practitioner: Definition to come...
About NPI 1881267441
Abby Provencal, APRN's National Provider Identifier is 1881267441, issued on Jul 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cosby, TN. The record was last updated on Jul 21, 2021.