Individual provider · Type 1 NPI

Tina Renee Graham, FNP

Family Nurse Practitioner · Kingsport, TN

NPI number 1609124635 Active

Practice location

105 W Stone Dr Ste 3A
Kingsport, TN 37660-3365

Fax (423) 390-4411

Mailing address

PO Box 9
Kingsport, TN 37662-0009

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X16914 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1609124635

Tina Renee Graham, FNP's National Provider Identifier is 1609124635, issued on Aug 23, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Apr 30, 2025.