Male or Other

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

Provider Address

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