Organization · Type 2 NPI

East Tennessee State University

Family Nurse Practitioner · Johnson City, TN

NPI number 1275902884 Active

Practice location

1000 N Roan St
Johnson City, TN 37601-4616

Call (423) 434-5249 Map

Fax (423) 434-5295

Mailing address

365 Stout Drive Box 70403
Johnson City, TN 37614-1703

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1275902884

East Tennessee State University's National Provider Identifier is 1275902884, issued on Sep 24, 2015. 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 Feb 23, 2017.