Individual
ANDREA NICOLE HETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604-6056
(423) 439-7272
(423) 439-7235
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7272
(423) 439-7235
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
501084
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NP22451
TN
Other
Enumeration date
03/28/2017
Last updated
06/01/2023
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