Organization · Type 2 NPI

East Tennessee Skilled Care

Family Nurse Practitioner · Johnson City, TN

NPI number 1649604489 Active

Practice location

140 Technology Ln
Johnson City, TN 37604-2004

Fax (423) 913-4123

Mailing address

PO Box 4300
Johnson City, TN 37602-4300

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN166309 (TN)
Family Nurse Practitioner Primary 363LF0000XAPN15811 (TN)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1649604489

East Tennessee Skilled Care's National Provider Identifier is 1649604489, issued on Aug 28, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TN. The record was last updated on Oct 17, 2013.