East Tennessee State University
East Tennessee State University is a Multi-Specialty Clinic/Center in Johnson City, Tennessee. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
365 Stout Drive Nicks Hall Rm 160Johnson City, TN 37614-6500
Phone: (423) 439-4225
Fax: (423) 439-4560
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X |
Record details
| NPI number | 1568570273 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty King — Acting Chief Financial Officer · (423) 439-4414 |
| Other names | Student University Health Services |
| NPI enumerated | August 25, 2006 |
| Last updated in NPPES | September 22, 2017 |
| Mailing address | 365 Stout Drive Box 70403, Johnson City, TN 37614-1703 |