Provider Demographics
NPI:1427183920
Name:CHIVERS, DEBORAH J (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:J
Last Name:CHIVERS
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:PO BOX 190
Mailing Address - Street 2:WEST TENNESSEE PUBLIC HEALTH OFFICE
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38281-0190
Mailing Address - Country:US
Mailing Address - Phone:731-884-2645
Mailing Address - Fax:731-884-2650
Practice Address - Street 1:1010 MOUNT ZION ROAD
Practice Address - Street 2:WEST TENNESSEE PUBLIC HEALTH OFFICE
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38281-0190
Practice Address - Country:US
Practice Address - Phone:731-884-2645
Practice Address - Fax:731-884-2650
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN047733163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse