Individual
HEATHER PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1570
(423) 392-6251
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 390-3340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25033
TN
Other
Enumeration date
10/30/2018
Last updated
09/26/2019
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