Individual
TENESSA R MUNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
301 MED TECH PKWY, JOHNSON CITY, TN 37604-2630
(423) 794-5550
(423) 794-5867
Mailing address
215 E SPRINGBROOK DR, JOHNSON CITY, TN 37601-1761
(423) 794-5550
(423) 794-5867
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21137
TN
363LF0000X
Family Nurse Practitioner
21137
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q023445
—
TN
Enumeration date
08/23/2016
Last updated
12/03/2020
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