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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVAN LIONEL PICKLE JR., LPN

Active Sole Proprietor

IVAN LIONEL PICKLE JR., LPN is a Licensed Practical Nurse healthcare provider located in JOHNSON CITY, Tennessee. NPI 1891239349 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · JOHNSON CITY, TN

Registration Details

NPI Number
1891239349
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2016 (9.6997795251152 yrs)
Last Updated
Dec 16, 2016
License
32270 (TN)
Sole Proprietor
Yes

Practice Information

Address
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN, 376046035
Browse TN providers · Browse ZIP 37604
Phone
4234311410
Fax
4234316370
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in JOHNSON CITY, TN

Name Credential NPI
MRS. ELLEN BERNICE HARRISON LPN 1497848378
MEREDITH A DUGGER LPN 1316122542
TONI RENEE DUGGER 1124286950
SANDRA KAY CAUGHRON LPN 1841456373
JANET L WOLFE LPN 1215193511
JANE ANNE SPRINKLE LPN 1821249434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.