Provider Demographics
NPI:1982866794
Name:DABBS, BETHANEY DAWN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:BETHANEY
Middle Name:DAWN
Last Name:DABBS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:TN
Mailing Address - Zip Code:37096-3326
Mailing Address - Country:US
Mailing Address - Phone:931-589-2138
Mailing Address - Fax:931-589-5414
Practice Address - Street 1:31 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TN
Practice Address - Zip Code:37096-3326
Practice Address - Country:US
Practice Address - Phone:931-589-2138
Practice Address - Fax:931-589-5414
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000072822164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse