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

Individual provider Family Nurse Practitioner · NPI 1659042000

Tara Bledsoe, APN is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2021, 5 years ago. Practices with Holston Medical Group PC, a 242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

105 W Stone Dr Ste 1F
Kingsport, TN 37660-3365
Phone: (423) 230-2420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 W Elk Ave, Elizabethton, TN 37643-2654 — (423) 543-2584

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29924 (TN)

Record details

NPI number1659042000
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 24, 2021
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing addressPo Box 9, Kingsport, TN 37662-0009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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