DEBRA JO UNCAPHER NPI 1730755083

NPI Information

DEBRA JO UNCAPHER is a family nurse practitioner in Johnson City, TN. DEBRA JO UNCAPHER NPI is 1730755083. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prestige Family Medicine.

The provider's business location address is:

1409 W MARKET ST STE 108
JOHNSON CITY, TN
ZIP 37604-005
Phone: (423) 833-0033
Fax: (423) 833-0031

The provider's authorized official is Debra Uncapher .
The authorized official title is Owner and has the following contact phone number (423) 833-0033.

The CLIA number assigned to this NPI record is 44D2172788 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2021 and was last updated on 6/17/2021.

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:

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