Individual
DORIS A CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6348
Mailing address
PO BOX 5576, JOHNSON CITY, TN 37602-5576
(423) 926-6266
(423) 926-7599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
108638
TN
363LF0000X
Family Nurse Practitioner
Primary
14021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516743
—
TN
05
—
1522199
—
TN
Enumeration date
05/28/2009
Last updated
04/07/2011
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