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Mountain States Health Alliance
Pediatric Nurse Practitioner in Johnson City, Tennessee
NPI 1124426259

Mountain States Health Alliance is a Pediatric Nurse Practitioner based in Johnson City, TN and is specialized in Pediatrics. Mountain States Health Alliance practices in Johnson City, TN. The NPI Number for Mountain States Health Alliance is 1124426259 and holds a License No. (Tennessee).

The current practice location address for Mountain States Health Alliance is 400 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-431-4847 and via fax at 423-431-3949. You can also correspond with Mountain States Health Alliance through the mailing address at 311 PRINCETON RD STE 1, JOHNSON CITY, TN - 37601-2026 (mailing address contact number: 423-431-4847).

Location: 400 N State Of Franklin Rd, Johnson City, TN, 37601-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124426259
Provider Name
Mountain States Health Alliance
Credential
Provider Entity Type
Organization
Address
400 N State Of Franklin Rd, Johnson City, TN, 37601-2026
Phone Number
423-431-4847
Fax Number
423-431-3949
Provider Enumeration Date
12/05/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q010765 05 TN
institution
Provider Business Practice Location Address Details
Address
400 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6035
Phone Number
423-431-4847
Fax Number
423-431-3949
person
Provider Business Mailing Address Details
Address
400 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6035
Phone Number
423-431-4847
Fax Number
423-431-3949
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
()
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
()
Definition
Definition to come...
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