Individual
MIRANDA DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
818 SUNSET DR, STE. 102, JOHNSON CITY, TN 37604-8310
(423) 794-3142
(865) 330-6323
Mailing address
102 LEE CARTER DR, JOHNSON CITY, TN 37601-3094
(865) 330-6320
(865) 330-6323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4972149
CIGNA
TN
Enumeration date
11/17/2016
Last updated
12/21/2016
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