Organization · Type 2 NPI
Williams Primary Care of Tri-Cities, LLC
Primary Care Nurse Practitioner · Kingsport, TN
NPI number
1053825075
Active
Practice location
1901 Brookside Dr Ste 105
Kingsport, TN 37660-4617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | BC18066 (TN) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1053825075
Williams Primary Care of Tri-Cities, LLC's National Provider Identifier is 1053825075, issued on Nov 29, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Kingsport, TN. The record was last updated on Nov 29, 2017.