Individual provider · Type 1 NPI

Addison Byrd

Pediatric Nurse Practitioner · Johnson City, TN

NPI number 1417853706 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Mailing address

829 Indian Trail Dr Apt B34
Kingsport, TN 37660-4884

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X42925 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1417853706

Addison Byrd's National Provider Identifier is 1417853706, issued on Oct 15, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Johnson City, TN. The record was last updated on Oct 15, 2026.