| Ivan Lionel Pickle Jr, LPN | |
|
400 N State Of Franklin Rd, Johnson City, TN 37604-6035 | |
| (423) 431-1410 | |
| (423) 431-6370 |
| Full Name | Ivan Lionel Pickle Jr |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 400 N State Of Franklin Rd, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891239349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 32270 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Lionel Pickle Jr, LPN 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 431-1410 | Ivan Lionel Pickle Jr, LPN 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 431-1410 |
Rachel Amanda Clark, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 Buffalo St, Johnson City, TN 37604 Phone: 423-232-4130 Fax: 423-232-4135 | |
Thelia Jean Pettigrew, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 219 Princeton Rd, Johnson City, TN 37601 Phone: 423-975-2200 | |
Audra Owens, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 102 N Broadway St, Johnson City, TN 37601 Phone: 423-588-9978 | |
Joseph James Miller, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 20 Lake Village Ct, Johnson City, TN 37601 Phone: 423-737-4605 | |
Hailey Malone, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 219 Princeton Rd, Johnson City, TN 37601 Phone: 423-975-2200 Fax: 423-975-2210 | |
Toni Renee Dugger, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2005 Williamsburg Sq, Johnson City, TN 37604 Phone: 423-647-6710 | |
Mrs. Krystal Starr Merz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 102 N Broadway St, Johnson City, TN 37601 Phone: 423-588-9978 |