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Nurse Practitioner, Family

EAST TENNESSEE STATE UNIVERSITY

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1124593132 · enumerated 2018-10-05 · record updated 2018-10-15. Source: CMS NPPES. A listing is not a TRICARE network approval.

Authorized official: BETTY KING, Chief Financial Officer · (423) 439-4414

Other names: COLLEGE OF NURSING CLINICS

Addresses and phones

Specialties

  • Social Worker, Clinical 1041C0700X
  • Dentist 122300000X
  • Physical Therapist 225100000X
  • Speech-Language Pathologist, 235Z00000X
  • Nurse Practitioner, Pediatrics 363LP0200X
  • Nurse Practitioner, Psych/Mental Health 363LP0808X
  • Nurse Practitioner, Women's Health 363LW0102X
  • Advanced Practice Midwife 367A00000X
  • Nurse Practitioner, Family 363LF0000X · Primary

In this directory

Locations and evidence

  • Practice location JOHNSON CITY, TN, 376044469
    Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

  • No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.