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Blue Ridge Medical Management Corporation
Nurse Practitioner in Johnson City, Tennessee
NPI 1962434068

Blue Ridge Medical Management Corporation is a Nurse Practitioner based in Johnson City, TN. Blue Ridge Medical Management Corporation practices in Johnson City, TN. The NPI Number for Blue Ridge Medical Management Corporation is 1962434068 and holds a License No. (Tennessee).

The current practice location address for Blue Ridge Medical Management Corporation is 311 Princeton Rd, Johnson City, TN and can be reached out via phone at 423-282-3236 and via fax at 423-283-4746. You can also correspond with Blue Ridge Medical Management Corporation through the mailing address at 311 PRINCETON RD, JOHNSON CITY, TN - 37601-2026 (mailing address contact number: 423-282-3236).

Location: 311 Princeton Rd, Johnson City, TN, 37601-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962434068
Provider Name
Blue Ridge Medical Management Corporation
Credential
Provider Entity Type
Organization
Address
311 Princeton Rd, Johnson City, TN, 37601-2026
Phone Number
423-282-3236
Fax Number
423-283-4746
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890117J 05 NC
3702646 05 TN
CD7031 01 RAIL ROAD MEDICARE
02571 01 NC BLUE CROSS OF NC
institution
Provider Business Practice Location Address Details
Address
311 Princeton Rd
City
Johnson City
State
Tennessee
Zip
37601-2026
Phone Number
423-282-3236
Fax Number
423-283-4746
person
Provider Business Mailing Address Details
Address
311 Princeton Rd
City
Johnson City
State
Tennessee
Zip
37601-2026
Phone Number
423-282-3236
Fax Number
423-283-9430
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
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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