East Tennessee State University
NPI #1952785081 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1952785081
- Entity Type
- Organization
- Organization Name
- East Tennessee State University
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 18, 2015
- Last Updated
- Feb 23, 2017
Practice Location
- Address
- 3261 TN 81
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659
- Phone
- (423) 753-1130
Authorized Official
- Name
- BETTY J KING
- Title
- ACTING CHIEF FINANCIAL OFFICER
- Phone
- (423) 439-4414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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