Revive Primary Care and Medspa PLLC
Revive Primary Care and Medspa PLLC provides Gerontology Nurse Practitioner services in LA Follette, Tennessee. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2221 Jacksboro Pike Ste A18LA Follette, TN 37766-3035
Phone: (937) 408-7606
Fax: (865) 332-1923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X |
|---|
Record details
| NPI number | 1457203879 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Heidi Marlow — Agnp-Cb · (937) 408-7606 |
| NPI enumerated | February 10, 2026 |
| Last updated in NPPES | February 10, 2026 |
| Certification date | February 10, 2026 |
| Mailing address | 2221 Jacksboro Pike Ste A18, La Follette, TN 37766-3035 |
Other providers in LA Follette
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Heidi M Marlow, AGNP-CB
2221 Jacksboro Pike Ste A18, LA Follette, TN 37766-3035 · (865) 333-4770