EAST TENNESSEE STATE UNIVERSITY NPI 1124593132

NPI Information

NPI: 1124593132
Provider Name: EAST TENNESSEE STATE UNIVERSITY

Doing Business As: COLLEGE OF NURSING CLINICS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2151 CENTURY LN
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-2500
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EAST TENNESSEE STATE UNIVERSITY is a family nurse practitioner in Johnson City, TN. EAST TENNESSEE STATE UNIVERSITY NPI is 1124593132. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As College Of Nursing Clinics.

The provider's business location address is:

2151 CENTURY LN
JOHNSON CITY, TN
ZIP 37604-469
Phone: (423) 926-2500
Fax: (423) 926-5999

The provider's authorized official is Betty J. King .
The authorized official title is Chief Financial Officer and has the following contact phone number (423) 439-4414.

The enumeration date for this NPI number is 10/5/2018 and was last updated on 10/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	122300000X	Dentist		No
3	225100000X	Physical Therapist		No
4	235Z00000X	Speech-Language Pathologist		No
5	363LP0200X	Nurse Practitioner	Pediatrics	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
7	363LW0102X	Nurse Practitioner	Women's Health	No
8	367A00000X	Advanced Practice Midwife		No
9	363LF0000X	Nurse Practitioner	Family	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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