person
Lisa Marie Ketchem, FNP-C
Family Nurse Practitioner in Kingsport, Tennessee
NPI 1871058263

Lisa Marie Ketchem is a Family Nurse Practitioner based in Kingsport, TN and is specialized in Family. Lisa Marie Ketchem practices in Kingsport, TN and has the professional credentials of FNP-C. The NPI Number for Lisa Marie Ketchem is 1871058263 and holds a License No. 0024184785 (Tennessee).

The current practice location address for Lisa Marie Ketchem is 5039 Andrew St, Kingsport, TN and can be reached out via phone at 423-817-8615.

Location: 5039 Andrew St, Kingsport, TN, 37660-6500
person
Provider Profile Details
NPI Number
1871058263
Provider Name
Lisa Marie Ketchem
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5039 Andrew St, Kingsport, TN, 37660-6500
Phone Number
423-817-8615
Fax Number
Provider Enumeration Date
02/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5039 Andrew St
City
State
Zip
37660-6500
Phone Number
423-817-8615
Fax Number
person
Provider Business Mailing Address Details
Address
5039 Andrew St
City
State
Zip
37660-6500
Phone Number
423-817-8615
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024184785 (Virginia)
Definition
Definition to come...
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