EAST TENNESSEE STATE UNIVERSITY

Clinic/Center - Multi-Specialty

Active Organization
NPI: 1568570273

Practice Address

365 STOUT DRIVE
NICKS HALL RM 160
Johnson City, TN 37614

Phone: (423) 439-4225

Specialties

Specialty Code Primary License
Nurse Practitioner - Primary Care 363LP2300X No -
Clinic/Center - Multi-Specialty 261QM1300X Yes -

Frequently Asked Questions

NPI 1568570273 is the National Provider Identifier for EAST TENNESSEE STATE UNIVERSITY, a Clinic/Center - Multi-Specialty provider located in Johnson City, TN. This NPI was enumerated on August 25, 2006.

Quick Facts

NPI
1568570273
Type
Organization
Enumerated
Aug 25, 2006
Last Updated
Sep 22, 2017

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