East Tennessee State University
East Tennessee State University provides Primary Care Nurse Practitioner services in Gray, Tennessee. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
1440 Suncrest DrGray, TN 37615-4118
Phone: (423) 477-1634
Fax: (423) 477-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X |
|---|
Record details
| NPI number | 1033344007 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betty King — Acting Chief Financial Officer · (423) 439-4414 |
| Other names | Daniel Boone High School Based Clinic |
| NPI enumerated | May 20, 2009 |
| Last updated in NPPES | February 23, 2017 |
| Mailing address | 365 Stout Drive Box 70403, Johnson City, TN 37614-1703 |