East Tennessee State University
East Tennessee State University is a Primary Care Nurse Practitioner in Jonesborough, Tennessee. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
684 Old State Route 34Jonesborough, TN 37659-6094
Phone: (423) 753-0057
Fax: (423) 753-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X |
|---|
Record details
| NPI number | 1508091562 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty King — Acting Chief Financial Officer · (423) 439-4414 |
| Other names | David Crockett High School Based Health Clinic |
| NPI enumerated | May 20, 2009 |
| Last updated in NPPES | February 23, 2017 |
| Mailing address | 365 Stout Drive Box 70403, Johnson City, TN 37614-1703 |
Other providers in Jonesborough
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East Tennessee State University
306 Forrest Dr, Jonesborough, TN 37659-1550 · (423) 913-3167