Nurse Practitioner, Family
MIRANDA ALLEY
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 Plan acceptance stays unpublished until the practice reports it.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 1669048294 · enumerated 2021-06-03 · record updated 2026-03-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MIRANDA ELLIOTT
Addresses and phones
- Mailing address 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN, 37604-2192 (423) 952-2111 Google Maps Apple Maps OpenStreetMap
- Practice location 130 W RAVINE RD, KINGSPORT, TN, 37660-3837 (423) 224-4000 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 29447 TN
In this directory
Locations and evidence
-
Practice location
KINGSPORT, TN, 376603837
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.