East Tennessee State University
NPI #1508091562 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1508091562
- Entity Type
- Organization
- Organization Name
- East Tennessee State University
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- May 20, 2009
- Last Updated
- Feb 23, 2017
Practice Location
- Address
- 684 OLD STATE ROUTE 34
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-6094
- Phone
- (423) 753-0057
Authorized Official
- Name
- MS. BETTY J. KING
- Title
- ACTING CHIEF FINANCIAL OFFICER
- Phone
- (423) 439-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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