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Mrs. Alice Victoria Lilly, FNP-C
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1972067395

Alice Victoria Lilly is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Alice Victoria Lilly practices in Johnson City, TN and has the professional credentials of FNP-C. The NPI Number for Alice Victoria Lilly is 1972067395 and holds a License No. 25417 (Tennessee).

The current practice location address for Alice Victoria Lilly is 410 N State Of Franklin Rd Ste 135, Johnson City, TN and can be reached out via phone at 423-431-2350.

Location: 410 N State Of Franklin Rd Ste 135, Johnson City, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972067395
Provider Name
Alice Victoria Lilly
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
410 N State Of Franklin Rd Ste 135, Johnson City, TN, 37604-2192
Phone Number
423-431-2350
Fax Number
Provider Enumeration Date
01/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q052607 05 TN
institution
Provider Business Practice Location Address Details
Address
410 N State Of Franklin Rd Ste 135
City
Johnson City
State
Tennessee
Zip
37604-6972
Phone Number
423-431-2350
Fax Number
person
Provider Business Mailing Address Details
Address
410 N State Of Franklin Rd Ste 135
City
Johnson City
State
Tennessee
Zip
37604-6972
Phone Number
423-431-2350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
25417 (Tennessee)
Definition
Definition to come...
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