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

Mikella B Maine, FNP

Individual provider Registered Nurse · NPI 1912255001

Mikella B Maine, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2011, 15 years ago. Practices with Clinch River Health Services Inc, an 11-clinician group. Licensed in Tennessee.

Years since qualifying
15
Licensed in
TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Phone: (423) 794-5520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 16877 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 144170 (TN)

Record details

NPI number1912255001
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 21, 2012
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Clinch River Health Services Inc — 11 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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