person
Deretsa Perry, NP
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1881147692

Deretsa Perry is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Deretsa Perry practices in Johnson City, TN and has the professional credentials of NP. The NPI Number for Deretsa Perry is 1881147692 and holds a License No. 21518 (Tennessee).

The current practice location address for Deretsa Perry is 310 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-979-6000 and via fax at 423-979-6011.

Location: 310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
person
Provider Profile Details
NPI Number
1881147692
Provider Name
Deretsa Perry
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
Phone Number
423-979-6000
Fax Number
423-979-6011
Provider Enumeration Date
07/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881147692 05 VA
Q024107 05 TN
institution
Provider Business Practice Location Address Details
Address
310 N State Of Franklin Rd
City
State
Zip
37604-6008
Phone Number
423-979-6000
Fax Number
423-979-6011
person
Provider Business Mailing Address Details
Address
310 N State Of Franklin Rd
City
State
Zip
37604-6008
Phone Number
423-979-6000
Fax Number
423-979-6011
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
21518 (Tennessee)
Definition
Definition to come...
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