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Desiree Raynor, NP-C
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1346624095

Desiree Raynor is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Desiree Raynor practices in Johnson City, TN and has the professional credentials of NP-C. The NPI Number for Desiree Raynor is 1346624095 and holds a License No. APN0000019740 (Tennessee).

The current practice location address for Desiree Raynor is 818 Sunset Dr Ste 102, Johnson City, TN and can be reached out via phone at 423-794-3142.

Location: 818 Sunset Dr Ste 102, Johnson City, TN, 37604-8310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346624095
Provider Name
Desiree Raynor
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
818 Sunset Dr Ste 102, Johnson City, TN, 37604-8310
Phone Number
423-794-3142
Fax Number
Provider Enumeration Date
07/13/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q015505 05 TN
institution
Provider Business Practice Location Address Details
Address
818 Sunset Dr Ste 102
City
Johnson City
State
Tennessee
Zip
37604-8310
Phone Number
423-794-3142
Fax Number
person
Provider Business Mailing Address Details
Address
818 Sunset Dr Ste 102
City
Johnson City
State
Tennessee
Zip
37604-8310
Phone Number
423-794-3142
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN0000019740 (Tennessee)
Definition
Definition to come...
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