Individual provider · Type 1 NPI

Michael Bryanne Villalba

Nurse Practitioner · Johnson City, TN

NPI number 1972121127 Active

Practice location

310 N State Of Franklin Rd Ste 202
Johnson City, TN 37604-6063

Fax (423) 929-9448

Other practice locations

  • 1021 Coolidge St Ste 2, Greeneville, TN 37743-4672 · (423) 929-7111
  • 1021 Coolidge St Ste 2, Greeneville, TN 37743-4672 · (423) 929-7111

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X215795 (TN)
Nurse Practitioner Primary 363L00000X29178 (TN)

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…

8 other providers at this address

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About NPI 1972121127

Michael Bryanne Villalba's National Provider Identifier is 1972121127, issued on Jul 13, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnson City, TN. The record was last updated on Mar 22, 2021.