Individual provider · Type 1 NPI

Todd Ryan Bomar, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Kingsport, TN

NPI number 1336730084 Active

Practice location

1570 Waverly Rd
Kingsport, TN 37664-2523

Fax (423) 467-3644

Mailing address

3022 Vanderbilt Pl
Nashville, TN 37212-2500

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X29138 (TN)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X11011297 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024182774 (VA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X236371 (AR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1336730084

Todd Ryan Bomar, PMHNP-BC's National Provider Identifier is 1336730084, issued on Jan 26, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kingsport, TN. The record was last updated on Apr 20, 2026.