Doctor Name: | MRS. SONIA SUE BIBLE |
NPI Number: | 1417271925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 14821 |
Business Practice Address: | 1278 Us 127 Lone Oak Free Health Clinic Signal Mountain, TN - 37377 |
Business Phone Number: | 4238864040 |
Business Fax Number: | 4238867250 |
Mailing Address: | 921 Falling Water Trl, SIGNAL MOUNTAIN |
State: | TN |
Postal Code: | 373772805 |
Phone Number: | 4235170181 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 03/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 14821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |