Provider Demographics
NPI:1023222056
Name:GUESS, SUSAN G (RN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:G
Last Name:GUESS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 NORWOOD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-2969
Mailing Address - Country:US
Mailing Address - Phone:931-967-3437
Mailing Address - Fax:
Practice Address - Street 1:338 JOYCE LN
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-3326
Practice Address - Country:US
Practice Address - Phone:931-967-3826
Practice Address - Fax:931-962-1168
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000111403163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health