Individual
ANGELA G WILLOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 N STATE OF FRANKLIN RD, GROUND FLOOR, JOHNSON CITY, TN 37604-6062
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6000
(423) 433-6140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03/30/1972
DATE OF BIRTH
—
05
—
1509062
—
TN
Enumeration date
05/01/2006
Last updated
05/11/2026
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