Individual
CAROLINE DERRICK STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2340 KNOB CREEK RD STE 704, JOHNSON CITY, TN 37604-2977
(423) 929-9101
Mailing address
1568 RACCOON LN, PINEY FLATS, TN 37686-2934
(615) 477-0493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
01/22/2026
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