Thelia Jean Pettigrew, LPN
NPI #1033459508 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1033459508
- Entity Type
- Individual
- Name
- Thelia Jean Pettigrew, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 21, 2013
- Last Updated
- Feb 21, 2013
Practice Location
- Address
- 219 PRINCETON RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-2052
- Phone
- (423) 975-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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