Nurse Practitioner
ABODE CARE PARTNERS LTC VB, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1972372225 · enumerated 2023-12-28 · record updated 2026-06-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ANGIE MATTINGLY, Mgr Provider Enrollment · (502) 420-2512
Addresses and phones
- Mailing address 805 N WHITTINGTON PKWY, LOUISVILLE, KY, 40222-7101 Google Maps Apple Maps OpenStreetMap
- Practice location 919 MEDICAL PARK DR, MOUNTAIN CITY, TN, 37683-1042 (800) 807-6555 Fax (855) 316-2999 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
MOUNTAIN CITY, TN, 376831042
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.