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VALLEY MEDICAL NPI 1811631518


NPI Information

NPI: 1811631518
Provider Name: VALLEY MEDICAL
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2258618

Address:
2545 JACKSBORO PIKE
JACKSBORO, TN
ZIP 37757
Phone: (423) 352-6090
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VALLEY MEDICAL is a family nurse practitioner in Jacksboro, TN. VALLEY MEDICAL NPI is 1811631518. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2545 JACKSBORO PIKE
JACKSBORO, TN
ZIP 37757-847
Phone: (423) 352-6090
Fax: (423) 352-6152

The provider's authorized official is Sandra Bond .
The authorized official title is Owner, Np and has the following contact phone number (423) 352-6090.

The CLIA number assigned to this NPI record is 44D2258618 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2022 and was last updated on 4/27/2022.


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
1363LF0000XNurse PractitionerFamilyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.