institution
East Tennessee State University
Primary Care Nurse Practitioner in Sneedville, Tennessee
NPI 1215045976

East Tennessee State University is a Primary Care Nurse Practitioner based in Johnson City, TN and is specialized in Primary Care. East Tennessee State University practices in Sneedville, TN. The NPI Number for East Tennessee State University is 1215045976 and holds a License No. (Tennessee).

The current practice location address for East Tennessee State University is 2700 Main Street, Sneedville, TN and can be reached out via phone at 423-733-2819 and via fax at 423-733-8509.

Location: 2700 Main Street, Sneedville, TN, 37614-1703
institution
Provider Profile Details
NPI Number
1215045976
Provider Name
East Tennessee State University
Credential
Provider Entity Type
Organization
Address
2700 Main Street, Sneedville, TN, 37614-1703
Phone Number
423-733-2819
Fax Number
423-733-8509
Provider Enumeration Date
08/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3709292 05 TN
institution
Provider Business Practice Location Address Details
Address
2700 Main Street
City
State
Zip
37869-0723
Phone Number
423-733-2819
Fax Number
423-733-8509
person
Provider Business Mailing Address Details
Address
2700 Main Street
City
State
Zip
37869-0723
Phone Number
423-733-2819
Fax Number
423-733-8509
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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