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Kimberly Shahbazi, APN
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1073916458

Kimberly Shahbazi is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Kimberly Shahbazi practices in Johnson City, TN and has the professional credentials of APN. The NPI Number for Kimberly Shahbazi is 1073916458 and holds a License No. 6582 (Tennessee).

The current practice location address for Kimberly Shahbazi is 401 E Main St, Johnson City, TN and can be reached out via phone at 423-929-2584 and via fax at 423-722-2060.

Location: 401 E Main St, Johnson City, TN, 37601-4877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073916458
Provider Name
Kimberly Shahbazi
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
401 E Main St, Johnson City, TN, 37601-4877
Phone Number
423-929-2584
Fax Number
423-722-2060
Provider Enumeration Date
09/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6582 01 TN LICENSE
institution
Provider Business Practice Location Address Details
Address
401 E Main St
City
Johnson City
State
Tennessee
Zip
37601-4877
Phone Number
423-929-2584
Fax Number
423-722-2060
person
Provider Business Mailing Address Details
Address
401 E Main St
City
Johnson City
State
Tennessee
Zip
37601-4877
Phone Number
423-929-2584
Fax Number
423-722-2060
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6582 (Tennessee)
Definition
Definition to come...
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