Johnny R Shupe is a Family in Kingsport, Tennessee. Johnny R Shupe practices all healthcare services and medical treatments related to Family. The NPI Number for Johnny R Shupe is 1659495356. The last update date is 2009-08-12.
Johnny R Shupe's current location address is 3609 Hemlock Park Dr, Kingsport, Tennessee. You can contact this provider via phone number 4232393431. The mailing address for Johnny R Shupe is 3609 Hemlock Park Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnny R Shupe |
|---|---|
| Address | 3609 Hemlock Park Dr, Kingsport, Tennessee |
| Phone Number | 4232393431 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1659495356 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2009-08-12 |
Provider Mailing Address Detail
| Address | 3609 Hemlock Park Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376632063 |
| Phone Number | 4232393431 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 24151769 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7790741 | VA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Johnny R Shupe?
The Johnny R Shupe has been issued the NPI (National Provider Identifier) 1659495356 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 address where Johnny R Shupe is geographically located?
The Johnny R Shupe is physically situated at the following location: 3609 Hemlock Park Dr, Kingsport, TN, 376632063.
What is Johnny R Shupe's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Johnny R Shupe is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
When was the Johnny R Shupe's 1659495356 issued?
The Johnny R Shupe's 1659495356 was issued on 2007-03-19.
When was the information regarding Johnny R Shupe most recently updated?
The details pertaining to the Johnny R Shupe, including its address, specialty, and other relevant information, were last refreshed on 2009-08-12.