Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beulah Lane, RN

Individual provider Registered Nurse · NPI 1275819559

Beulah Lane, RN is a Registered Nurse in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2011
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

200 W Fairview Ave
Johnson City, TN 37604-5611
Phone: (877) 928-9062
Fax: (423) 467-3644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN064030 (TN)

Record details

NPI number1275819559
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 31, 2011
Last updated in NPPESOctober 31, 2011
Mailing address1167 Spratlin Park Dr, Gray, TN 37615-6205

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