| Organization Name: | RIVERVIEW PHYSICIAN PRACTICES LLC |
| NPI Number: | 1669872735 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESS N JUDY (PRESIDENT) |
| Mailing Address: | 14 Main St Suite B Gordonsville |
| State: | TN US |
| Postal Code: | 385632036 |
| Phone Number: | 6155881015 |
| Fax Number: | 6155881018 |
| NPI Enumeration Date: | 08/26/2014 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |