person
Mrs. Constance Sue Lackner, MSNAPRNBC
Psychiatric/Mental Health Nurse Practitioner in Johnson City, Tennessee
NPI 1922068022

Constance Sue Lackner is a Psychiatric/Mental Health Nurse Practitioner based in Gray, TN and is specialized in Psychiatric/Mental Health. Constance Sue Lackner practices in Johnson City, TN and has the professional credentials of MSNAPRNBC. The NPI Number for Constance Sue Lackner is 1922068022 and holds a License No. APN07278 (Tennessee).

The current practice location address for Constance Sue Lackner is 109 W Watauga Ave, Johnson City, TN and can be reached out via phone at 423-232-2600 and via fax at 423-467-3644. You can also correspond with Constance Sue Lackner through the mailing address at 1167 SPRATLIN PARK DR, GRAY, TN - 37615-6205 (mailing address contact number: 423-467-3600).

Location: 109 W Watauga Ave, Johnson City, TN, 37615-6205
person
Provider Profile Details
NPI Number
1922068022
Provider Name
Constance Sue Lackner
Credential
MSNAPRNBC
Provider Entity Type
Individual
Gender
Female
Address
109 W Watauga Ave, Johnson City, TN, 37615-6205
Phone Number
423-232-2600
Fax Number
423-467-3644
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3143910 01 TN BLUE CROSS BLUE SHIELD
3345085 05 TN
890000552 01 RAILROAD PROVIDER
institution
Provider Business Practice Location Address Details
Address
109 W Watauga Ave
City
State
Zip
37604-5621
Phone Number
423-232-2600
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
109 W Watauga Ave
City
State
Zip
37604-5621
Phone Number
423-232-2600
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APN07278 (Tennessee)
Definition
Definition to come...
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