Mrs Mary Angel Ensley, | |
2347 Rossville Blvd, Chattanooga, TN 37408-2250 | |
(423) 509-0763 | |
Not Available |
Full Name | Mrs Mary Angel Ensley |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 2347 Rossville Blvd, Chattanooga, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336842319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN0000070781 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Angel Ensley, 2347 Rossville Blvd, Chattanooga, TN 37408-2250 Ph: (423) 509-0763 | Mrs Mary Angel Ensley, 2347 Rossville Blvd, Chattanooga, TN 37408-2250 Ph: (423) 509-0763 |
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