person
Kelly M Hare, FNP
Nurse Practitioner in Kingsport, Tennessee
NPI 1821115676

Kelly M Hare is a Nurse Practitioner based in Kingsport, TN. Kelly M Hare practices in Kingsport, TN and has the professional credentials of FNP. The NPI Number for Kelly M Hare is 1821115676 and holds a License No. 12652 (Tennessee).

The current practice location address for Kelly M Hare is 2205 Pavilion Dr, Kingsport, TN and can be reached out via phone at 423-857-7650 and via fax at 423-857-7655.

Location: 2205 Pavilion Dr, Kingsport, TN, 37660-4641
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Provider Profile Details
NPI Number
1821115676
Provider Name
Kelly M Hare
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2205 Pavilion Dr, Kingsport, TN, 37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100023580 05 KY
P01662016 01 TN RR MEDICARE
Q016582 05 TN
institution
Provider Business Practice Location Address Details
Address
2205 Pavilion Dr
City
State
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider Business Mailing Address Details
Address
2205 Pavilion Dr
City
State
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
12652 (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.
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