person
Robert J Netherland, NP
Family Nurse Practitioner in Kingsport, Tennessee
NPI 1063767473

Robert J Netherland is a Family Nurse Practitioner based in Kingsport, TN and is specialized in Family. Robert J Netherland practices in Kingsport, TN and has the professional credentials of NP. The NPI Number for Robert J Netherland is 1063767473 and holds a License No. 16816 (Tennessee).

The current practice location address for Robert J Netherland is 2000 Brookside Dr, Kingsport, TN and can be reached out via phone at 423-857-5905 and via fax at 423-857-5904.

Location: 2000 Brookside Dr, Kingsport, TN, 37660-4627
person
Provider Profile Details
NPI Number
1063767473
Provider Name
Robert J Netherland
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2000 Brookside Dr, Kingsport, TN, 37660-4627
Phone Number
423-857-5905
Fax Number
423-857-5904
Provider Enumeration Date
07/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01312579 01 TN RAILROAD MEDICARE
7100220310 05 KY
1063767473 05 VA
1530134 05 TN
1063767473 05 NC
institution
Provider Business Practice Location Address Details
Address
2000 Brookside Dr
City
State
Zip
37660-4627
Phone Number
423-857-5905
Fax Number
423-857-5904
person
Provider Business Mailing Address Details
Address
2000 Brookside Dr
City
State
Zip
37660-4627
Phone Number
423-857-5905
Fax Number
423-857-5904
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
16816 (Tennessee)
Definition
Definition to come...
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