NPI 1124725692

Joe Taylor Pendergrass, RN

Practitioner Certified Registered Nurse Anesthetist Bristol, TN

Practice location

Address: 804 Bristol Caverns Hwy, Bristol, TN 37620-9456
Phone: (423) 534-6322

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 36044 (TN)

Other Nurse Anesthetist, Certified Registered providers in Tennessee →

Critical Care Medicine Registered Nurse

Nursing Service Providers Taxonomy 163WC0200X Licence 222207 (TN)

Other Registered Nurse providers in Tennessee →

Registry record

NPI: 1124725692
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2023
Record last updated: 27 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.