Nerissa Licup is a Internal Medicine Physician based in Kingsport, TN. Nerissa Licup practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Nerissa Licup is 1720269731 and holds a License No. (Tennessee).
The current practice location address for Nerissa Licup is 2205 Pavilion Dr Ste 101, Kingsport, TN and can be reached out via phone at 423-392-6000 and via fax at 423-392-6030. You can also correspond with Nerissa Licup through the mailing address at 2205 PAVILION DR STE 101, KINGSPORT, TN - 37660-4641 (mailing address contact number: 423-392-6000).
Identifier | Type | State | Issuer |
---|---|---|---|
P01015971 | 01 | TN | RR MEDICARE |
1521020 | 05 | TN | |
1720269731 | 05 | VA | |
4276956 | 01 | TN | BLUECARE |
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