Individual provider · Type 1 NPI
Alicia D. Frasure, FNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Johnson City, TN
NPI number
1750625539
Active
Practice location
604 N Roan St Ste 101
Johnson City, TN 37601-4651
Fax (423) 558-2525
Mailing address
1735 W State Of Franklin Rd Ste 5, PB270
Johnson City, TN 37604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17018 (TN) |
| Family Nurse Practitioner | 363LF0000X | 0024171150 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 17018 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1750625539
Alicia D. Frasure, FNP, PMHNP's National Provider Identifier is 1750625539, issued on Nov 19, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Johnson City, TN. The record was last updated on May 12, 2025.