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Angela Harless, FNP
Family Nurse Practitioner in Kingsport, Tennessee
NPI 1962020750

Angela Harless is a Family Nurse Practitioner based in Mountain Home, TN and is specialized in Family. Angela Harless practices in Kingsport, TN and has the professional credentials of FNP. The NPI Number for Angela Harless is 1962020750 and holds a License No. 224683 (Tennessee).

The current practice location address for Angela Harless is 4 Sheridan Sq Ste 200, Kingsport, TN and can be reached out via phone at 423-246-7931.

Location: 4 Sheridan Sq Ste 200, Kingsport, TN, 37684-0699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962020750
Provider Name
Angela Harless
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4 Sheridan Sq Ste 200, Kingsport, TN, 37684-0699
Phone Number
423-246-7931
Fax Number
Provider Enumeration Date
07/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q059857 05 TN
institution
Provider Business Practice Location Address Details
Address
4 Sheridan Sq Ste 200
City
Kingsport
State
Tennessee
Zip
37660-7435
Phone Number
423-246-7931
Fax Number
person
Provider Business Mailing Address Details
Address
4 Sheridan Sq Ste 200
City
Kingsport
State
Tennessee
Zip
37660-7435
Phone Number
423-246-7931
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
27946 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
224683 (Tennessee)
Definition
Definition to come...
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