Individual
AMBER C PLOUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
301 MED TECH PKWY, SUITE 240, JOHNSON CITY, TN 37604
(423) 794-5520
(423) 282-0720
Mailing address
215 E SPRINGBROOK DR, JOHNSON CITY, TN 37601-1761
(423) 794-5520
(423) 794-6940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15056
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522810
—
TN
Enumeration date
08/21/2010
Last updated
05/02/2020
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