EAST TENNESSEE SKILLED CARE NPI 1649604489

NPI Information

NPI: 1649604489
Provider Name: EAST TENNESSEE SKILLED CARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
140 TECHNOLOGY LN
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 773-9555
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EAST TENNESSEE SKILLED CARE is a family nurse practitioner in Johnson City, TN. EAST TENNESSEE SKILLED CARE NPI is 1649604489. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

140 TECHNOLOGY LN
JOHNSON CITY, TN
ZIP 37604-004
Phone: (423) 773-9555
Fax: (423) 913-4123

The provider's authorized official is Emmalea Elizabeth Johnston .
The authorized official title is Family Nurse Practitioner/ceo and has the following contact phone number (423) 773-9555.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 10/17/2013.

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	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN166309	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	APN15811	TENNESSEE	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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