Individual
JOHN TREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2392
(423) 282-5611
(423) 282-5712
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 282-5611
(423) 282-5712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
29011
TN
363L00000X
Nurse Practitioner
5014158
NC
363LF0000X
Family Nurse Practitioner
Primary
29011
TN
363LF0000X
Family Nurse Practitioner
5014158
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q074520
—
TN
Enumeration date
03/02/2021
Last updated
02/24/2025
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