Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adrian Denise Qualls, PA-C

Individual provider Physician Assistant · NPI 1477942357

Adrian Denise Qualls, PA-C is a Physician Assistant in Kingsport, Tennessee. Licensed in North Carolina and Tennessee. Registered with an NPI since 2015.

Licensed in
NC, TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2204 Pavilion Dr Ste 108
Kingsport, TN 37660-4651
Phone: (423) 392-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2921 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-05493 (NC)

Record details

NPI number1477942357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

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