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

Mitzi Daniela Musick, ANP

Individual provider Family Nurse Practitioner · NPI 1780686865

Mitzi Daniela Musick, ANP is a Nurse Practitioner in Kingsport, Tennessee. Graduated from Vanderbilt University School of Medicine in 2000, 26 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
26
Trained at
Vanderbilt University School of Medicine
Licensed in
TN, VA
In the registry since
2005
Specialties on file
4

Practice location Address checks out

105 W Stone Dr Ste 3A
Kingsport, TN 37660-3365
Phone: (423) 392-6200
Fax: (423) 390-4411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN0000007650 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN0000116388 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0001162148 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024165213 (VA)

Record details

NPI number1780686865
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJune 2, 2005
Last updated in NPPESMay 5, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsport