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NURSE PRACTITIONER

420 Railroad St

Elizabethton, TN 376432504

(423) 297-1813

**NPI:** 1902405947

**Med School:** OTHER

**Experience:** 5 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (2)

CHAMPION PHYSICAL THERAPY LLC HALLS

420 Railroad St
Elizabethton, TN 376432504

Phone: (423) 297-1813

**Group ID:** 1355416306 | **Group Size:** 191 members

TRI STATE MOUNTAIN NEUROLOGY ASSOCIATES PC

1321 Sunset Dr, Suite 11
Johnson City, TN 376047902

Phone: (423) 928-6174

**Group ID:** 4587753892 | **Group Size:** 5 members

WELLMONT HOLSTON VALLEY MEDICAL CENTER Type: Hospital
130 WEST RAVINE ROAD
Phone: (423) 224-4000
Medicare CCN: 440017 View Profile

GREENEVILLE COMMUNITY HOSPITAL Type: Hospital
1420 TUSCULUM BOULEVARD
Phone: (423) 639-3151
Medicare CCN: 440050 View Profile

FRANKLIN WOODS COMMUNITY HOSPITAL Type: Hospital
300 MED TECH PARKWAY
Phone: (423) 302-1120
Medicare CCN: 440184 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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