Individual provider · Type 1 NPI

Kelly Fugate, FNP-C

Family Nurse Practitioner · Kingsport, TN

NPI number 1629442694 Active

Practice location

2000 Brookside Dr Fl 7
Kingsport, TN 37660-4627

Fax (423) 857-7018

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 351 Court St, Abingdon, VA 24210-2921 · (276) 676-3360
  • 1980 Holton Ave E Ste 204, Big Stone Gap, VA 24219-3367 · (276) 523-8828

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024173176 (VA)
Family Nurse Practitioner 363LF0000X20561 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1629442694

Kelly Fugate, FNP-C's National Provider Identifier is 1629442694, issued on Nov 13, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Jan 5, 2026.