Healthcare Provider Details

I. General information

NPI: 1710012125
Provider Name (Legal Business Name): CHRISTINE M. RIGSBY APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604
US

IV. Provider business mailing address

PO BOX 699
MOUNTAIN HOME TN
37684-0699
US

V. Phone/Fax

Practice location:
  • Phone: 423-930-8337
  • Fax: 423-926-1049
Mailing address:
  • Phone: 423-433-6039
  • Fax: 423-433-6039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11184
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: