Provider Demographics
NPI:1659655900
Name:COMPTON, ALICE DENISE (RN)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:DENISE
Last Name:COMPTON
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 1:1130 BLAIR LOOP
Mailing Address - Street 2:
Mailing Address - City:WALLAND
Mailing Address - State:TN
Mailing Address - Zip Code:37886-2332
Mailing Address - Country:US
Mailing Address - Phone:865-982-0954
Mailing Address - Fax:
Practice Address - Street 1:1130 BLAIR LOOP
Practice Address - Street 2:
Practice Address - City:WALLAND
Practice Address - State:TN
Practice Address - Zip Code:37886-2332
Practice Address - Country:US
Practice Address - Phone:865-982-0954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000067056163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health