THELIA JEAN PETTIGREW LPN
NPI 1033459508
Licensed Practical Nurse in Johnson City, TN

Active since February 21, 2013
219 PRINCETON RD, JOHNSON CITY, TN 37601(423) 975-2200 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thelia Jean Pettigrew Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THELIA JEAN PETTIGREW LPN (NPI 1033459508) is an individual licensed practical nurse in Johnson City, Tennessee, licensed in Tennessee (LPN0000067544) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1033459508
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTHELIA JEAN PETTIGREWCredential: LPN
Location Address219 PRINCETON RDJohnson City, TN 37601-2052
Mailing Address4368 Clear Springs RdLimestone, TN 37681-5044 · (423) 257-8869
Sole ProprietorNo
Enumeration DateFebruary 21, 2013
NPI 1033459508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in TN · LPN0000067544
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

219 PRINCETON RD, Johnson City, TN 37601

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Physical Therapist
219 PRINCETON RD, SUITE 150
JOHNSON CITY, TN 37601
Registered Nurse (Community Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Registered Nurse (Community Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Registered Nurse (Community Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Registered Nurse (Community Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Dentist (Dental Public Health)
219 PRINCETON RD
JOHNSON CITY, TN 37601
Licensed Practical Nurse
219 PRINCETON RD
JOHNSON CITY, TN 37601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thelia Pettigrew's NPI number?

The NPI number for Thelia Pettigrew is 1033459508. It was assigned to this individual provider in the NPPES registry on February 21, 2013.

Where is Thelia Pettigrew located?

Thelia Pettigrew practices at 219 Princeton Rd, Johnson City, TN 37601. The listed phone number is (423) 975-2200.

What is Thelia Pettigrew's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Thelia Pettigrew was last updated on February 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.