Doctor Name: | RHONDA C GUESS |
NPI Number: | 1003209982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | APN0000019649 |
Business Practice Address: | 4896 Main St Jasper, TN - 373473681 |
Business Phone Number: | 4239423756 |
Business Fax Number: | |
Mailing Address: | 980 Highway 28, Ste 100 JASPER |
State: | TN |
Postal Code: | 373473696 |
Phone Number: | 4239391500 |
Fax Number: | 4239391503 |
NPI Enumeration Date: | 03/16/2015 |
NPI Last Update Date: | 03/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000019649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |