MR. Johnny Dwayne Fraley, FNP is a primary care nurse practitioner in Kingsport, TN with 4 years of experience. MR. Johnny Dwayne Fraley, FNP NPI is 1427666460. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1905 AMERICAN WAY
KINGSPORT, TN
ZIP 37660-882
Phone: (423) 224-4000
The NPI 1427666460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/15/2020 and was last updated on 7/15/2020.