Mazie Bivens Valid NPI

Individual provider · Family Nurse Practitioner · Madisonville, TN

NPI

1114809738

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

38983 (TN)

Sex

Female

Sole proprietor

No

Enumerated

2025-07-24

Last updated

2025-10-14