Individual provider · Type 1 NPI

John Bradford Lichlyter, MSN, APRN, NP-C, CEN

Nurse Practitioner · Johnson City, TN

NPI number 1629852900 Active

Practice location

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6972

Call (423) 431-2477 Map

Mailing address

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

Other practice locations

  • 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5016 · (865) 804-0322

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X224266 (TN)
Nurse Practitioner Primary 363L00000X34973 (TN)
Family Nurse Practitioner 363LF0000X34793 (TN)
Nurse Practitioner 363L00000X15689-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629852900

John Bradford Lichlyter, MSN, APRN, NP-C, CEN's National Provider Identifier is 1629852900, issued on Aug 21, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnson City, TN. The record was last updated on Sep 26, 2025.