Organization · Type 2 NPI

East Tennessee State University

Family Nurse Practitioner · Johnson City, TN

NPI number 1124593132 Active

Practice location

2151 Century Ln
Johnson City, TN 37604-4469

Call (423) 926-2500 Map

Fax (423) 926-5999

Mailing address

365 Stout Drive, Box 70403
Johnson City, TN 37614

Other practice locations

  • 1901 S Shady St, Mountain City, TN 37683-2021 · (423) 727-1150
  • 391 Court Sq, Sneedville, TN 37869 · (423) 733-2121
  • 2700 Main St, Sneedville, TN 37869-3041 · (423) 733-2819
  • 365 Stout Drive, Suite 160, Johnson City, TN 37614 · (423) 439-4225
  • 202 W Fairview Ave, Johnson City, TN 37604-5611 · (423) 439-7371

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Dentist 122300000XNone listed
Physical Therapist 225100000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Women's Health Nurse Practitioner 363LW0102XNone listed
Advanced Practice Midwife 367A00000XNone listed

Family Nurse Practitioner: Definition to come...

33 other providers at this address

Other family nurse practitioner providers in Johnson City

See all in Johnson City →

About NPI 1124593132

East Tennessee State University's National Provider Identifier is 1124593132, issued on Oct 5, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TN. The record was last updated on Oct 15, 2018.