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Carissa Nichole Depew, DNP,AGPCNP
Nurse Practitioner in Kingsport, Tennessee
NPI 1477079861

Carissa Nichole Depew is a Nurse Practitioner based in Johnson City, TN. Carissa Nichole Depew practices in Kingsport, TN and has the professional credentials of DNP,AGPCNP. The NPI Number for Carissa Nichole Depew is 1477079861 and holds a License No. 23054 (Tennessee).

The current practice location address for Carissa Nichole Depew is 130 W Ravine Rd, Kingsport, TN and can be reached out via phone at 423-224-4000.

Location: 130 W Ravine Rd, Kingsport, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477079861
Provider Name
Carissa Nichole Depew
Credential
DNP,AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
130 W Ravine Rd, Kingsport, TN, 37604-2192
Phone Number
423-224-4000
Fax Number
Provider Enumeration Date
08/17/2017
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
130 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-4000
Fax Number
person
Provider Business Mailing Address Details
Address
130 W Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3837
Phone Number
423-224-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
23054 (Tennessee)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
23054 (Tennessee)
Definition
Definition to come...
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