Individual
ERICA LEIGHANN BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5625 LONE STAR RD, KINGSPORT, TN 37660-7950
(423) 817-5418
Mailing address
5716 STARLIGHT RD, KINGSPORT, TN 37660-8016
(423) 817-5418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
29801
TN
363LF0000X
Family Nurse Practitioner
Primary
4011026
KY
Other
Enumeration date
04/10/2022
Last updated
07/24/2024
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