institution
Main Street Family Practice
Family Nurse Practitioner in Bulls Gap, Tennessee
NPI 1568706828

Main Street Family Practice is a Family Nurse Practitioner based in Bulls Gap, TN and is specialized in Family. Main Street Family Practice practices in Bulls Gap, TN. The NPI Number for Main Street Family Practice is 1568706828 and holds a License No. 12848 (Tennessee).

The current practice location address for Main Street Family Practice is 113 N Main St, Bulls Gap, TN and can be reached out via phone at 423-393-4212 and via fax at 423-393-4257.

Location: 113 N Main St, Bulls Gap, TN, 37711-4735
institution
Provider Profile Details
NPI Number
1568706828
Provider Name
Main Street Family Practice
Credential
Provider Entity Type
Organization
Address
113 N Main St, Bulls Gap, TN, 37711-4735
Phone Number
423-393-4212
Fax Number
423-393-4257
Provider Enumeration Date
11/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 N Main St
City
State
Zip
37711-4735
Phone Number
423-393-4212
Fax Number
423-393-4257
person
Provider Business Mailing Address Details
Address
113 N Main St
City
State
Zip
37711-4735
Phone Number
423-393-4212
Fax Number
423-393-4257
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12848 (Tennessee)
Definition
Definition to come...
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