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Organization
BOONES CREEK MEDICAL PLLC
Active
Organization
BOONES CREEK MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER F WILKINSON FNP (OWNER/ADMINISTRATOR)
(423) 282-0636
Entity
Organization
Contact information
Practice address
2685 BOONES CREEK ROAD, SUITE 104, JOHNSON CITY, TN 37615
(423) 282-0636
(423) 282-1990
Mailing address
1000 W JACKSON BLVD STE 5, JONESBOROUGH, TN 37659-5397
(423) 282-1990
(423) 282-1990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735590
—
TN
Enumeration date
07/11/2006
Last updated
02/13/2020
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