Individual provider · Type 1 NPI

Stephanie Renee Roach, FNP

Family Nurse Practitioner · Kingsport, TN

NPI number 1275820599 Active

Practice location

2020 Brookside Dr, Suite 20
Kingsport, TN 37660-4633

Call (423) 247-7030 Map

Fax (423) 247-7033

Mailing address

PO Box 4842
Johnson City, TN 37602-4842

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X15751 (TN)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1275820599

Stephanie Renee Roach, FNP's National Provider Identifier is 1275820599, issued on Jul 7, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Jul 7, 2011.