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

Tina Renee Graham, FNP

Individual provider Family Nurse Practitioner · NPI 1609124635

Tina Renee Graham, FNP is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2012, 14 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

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 16914 (TN)

Record details

NPI number1609124635
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 23, 2012
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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