Individual
CHERYL CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 MED TECH PKWY STE 200, JOHNSON CITY, TN 37604-4001
(423) 232-6120
(423) 232-6125
Mailing address
101 MED TECH PKWY STE 200, JOHNSON CITY, TN 37604-4001
(423) 232-6120
(423) 232-6125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3909234
—
TN
01
—
4122083
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/27/2006
Last updated
01/09/2024
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