person
Talisha Ettina Leeann Troutt, FNP
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1639696784

Talisha Ettina Leeann Troutt is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Talisha Ettina Leeann Troutt practices in Johnson City, TN and has the professional credentials of FNP. The NPI Number for Talisha Ettina Leeann Troutt is 1639696784 and holds a License No. 23083 (Tennessee).

The current practice location address for Talisha Ettina Leeann Troutt is 365 Stout Drive, Johnson City, TN and can be reached out via phone at 423-439-4225 and via fax at 423-439-4560. You can also correspond with Talisha Ettina Leeann Troutt through the mailing address at PO BOX 70403, JOHNSON CITY, TN - 37614-1703 (mailing address contact number: 423-439-4381).

Location: 365 Stout Drive, Johnson City, TN, 37614-1703
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Provider Profile Details
NPI Number
1639696784
Provider Name
Talisha Ettina Leeann Troutt
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
365 Stout Drive, Johnson City, TN, 37614-1703
Phone Number
423-439-4225
Fax Number
423-439-4560
Provider Enumeration Date
08/29/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q036951 05 TN
institution
Provider Business Practice Location Address Details
Address
365 Stout Drive
City
State
Zip
37614-3761
Phone Number
423-439-4225
Fax Number
423-439-4560
person
Provider Business Mailing Address Details
Address
365 Stout Drive
City
State
Zip
37614-3761
Phone Number
423-439-4225
Fax Number
423-439-4560
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
23083 (Tennessee)
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.
23083 (Tennessee)
Definition
Definition to come...
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