Johnny R. Rivers FNP
Family Nurse Practitioner in Knoxville, TN(View on Map)
Full Name
Johnny Ray Rivers FNP
NPI Number
1992172399
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/01/2015
Specialties
(Taxonomies)Code
363LF0000X
363LP2300X
Primary Taxonomy
Yes
No
Licenses
State
Tennessee
Tennessee
License Number
APN20336
20336
Contact
Information
Purpose
Mailing
Location
Address
108 LOVELL RD
108 LOVELL RD
City
Knoxville
Knoxville
State
TN
TN
Postal Code
37934-1903
37934-1903
Country
US
US
Telephone Number
(865) 288-7777
(865) 288-7777
Identifiers
Identifier
20336
Identifier State
TN
Identifier Issuer
LICENSE NUMBER
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/13/2024