Organization · Type 2 NPI
East Tennessee State University
Primary Care Nurse Practitioner · Jonesborough, TN
NPI number
1508091562
Active
Practice location
684 Old State Route 34
Jonesborough, TN 37659-6094
Fax (423) 753-1167
Mailing address
365 Stout Drive Box 70403
Johnson City, TN 37614-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Jonesborough
About NPI 1508091562
East Tennessee State University's National Provider Identifier is 1508091562, issued on May 20, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Jonesborough, TN. The record was last updated on Feb 23, 2017.