Individual
MRS. ALICIA LEEANN PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1905 AMERICAN WAY, KINGSPORT, TN 37660-5882
(423) 230-8200
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024194552
VA
363LF0000X
Family Nurse Practitioner
Primary
26448
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q058587
—
TN
Enumeration date
01/23/2020
Last updated
12/23/2025
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