Individual provider · Type 1 NPI

Charles David Bray, FNP-BC

Family Nurse Practitioner · Kingsport, TN

NPI number 1083139935 Active

Practice location

130 W Ravine Rd Ste 3A
Kingsport, TN 37660-3841

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 415 Broad St Ste 410, Kingsport, TN 37660-4264 · (423) 239-9737
  • 111 W Stone Dr Ste 310, Kingsport, TN 37660-6030 · (423) 398-7020

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024175255 (VA)
Family Nurse Practitioner Primary 363LF0000X23136 (TN)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1083139935

Charles David Bray, FNP-BC's National Provider Identifier is 1083139935, issued on Aug 11, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Feb 22, 2025.