Libby P Massie in Kingsport - Nurse Practitioner

Libby P Massie - NPI 1902929532

Libby P Massie is a Nurse Practitioner in Kingsport, Tennessee. Libby P Massie practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Libby P Massie is 1902929532. The last update date is 2014-12-18.

Libby P Massie's current location address is 2000 Brookside Dr, Kingsport, Tennessee. You can contact this provider via phone number 4238575907 and fax number 4238575904. The mailing address for Libby P Massie is 2000 Brookside Dr, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Libby P Massie
Address 2000 Brookside Dr, Kingsport, Tennessee
Phone Number 4238575907
Fax Number 4238575904
Sole Proprietor N
Credentials APN

NPI Number Detail

NPI Number 1902929532
Provider Enumeration Date 2007-04-09
Last Updated Date 2014-12-18

Provider Mailing Address Detail

Address 2000 Brookside Dr
City Kingsport
State Tennessee (TN)
Post Code 376604627
Phone Number 4238575907
Fax Number 4238575904

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 12660
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3341119 TN --
Q002696 TN --
1902929532 VA --
P00844330 TN RR MEDICARE
7000630 NC --
7100112430 KY --
P00844325 TN RR MEDICARE

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FAQs about Libby P Massie

What is the unique provider identifier assigned to Libby P Massie?

The Libby P Massie has been issued the NPI (National Provider Identifier) 1902929532 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Libby P Massie's facilities are situated?

The facilities of Libby P Massie are physically located at the following address: 2000 Brookside Dr, Kingsport, TN, 376604627.

What is the Libby P Massie's area of specialization and corresponding taxonomy classification?

The Libby P Massie's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1902929532 assigned to Libby P Massie?

The Libby P Massie was issued its 1902929532 on 2007-04-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Libby P Massie most recently updated or revised?

The information pertaining to Libby P Massie, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-18.

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