Provider Demographics
NPI:1104401918
Name:BROWNING, MARY RUTH (LPN)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:RUTH
Last Name:BROWNING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:478 ISLAND FORD RD
Mailing Address - Street 2:
Mailing Address - City:JACKSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37757-4816
Mailing Address - Country:US
Mailing Address - Phone:423-494-3559
Mailing Address - Fax:865-730-3937
Practice Address - Street 1:21 EDMONDS DR
Practice Address - Street 2:
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840-1931
Practice Address - Country:US
Practice Address - Phone:865-730-3906
Practice Address - Fax:865-730-3937
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN70483164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse