ANDREA NICOLE HETHERINGTON FNPC NPI 1316479678

NPI Information

NPI: 1316479678
Provider Name: ANDREA NICOLE HETHERINGTON, FNPC
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
325 N STATE OF FRANKLIN RD FL 1
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7272
Get Directions

Andrea Nicole Hetherington, FNPC is an obstetrics and gynecology nurse practitioner in Johnson City, TN with 8 years of experience. Andrea Nicole Hetherington, FNPC NPI is 1316479678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 N STATE OF FRANKLIN RD FL 1
JOHNSON CITY, TN
ZIP 37604-056
Phone: (423) 439-7272
Fax: (423) 439-7235

The NPI 1316479678 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 3/28/2017 and was last updated on 6/1/2023.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NP22451	TENNESSEE	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	501084	NORTH CAROLINA	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: 4/28/2024

NPI Synchronization or Removal

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