Carrie B Illum is a student in an organized health care education training program in Johnson City, TN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Carrie B Illum NPI is 1336827740. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
917 W WALNUT ST
JOHNSON CITY, TN
ZIP 37604-527
Phone: (423) 439-6464
The enumeration date for this NPI number is 7/6/2023 and was last updated on 7/6/2023.