Individual
MS. SUSAN MIRANDA PEOPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP MSN
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
(423) 975-2210
Mailing address
609 DOUGLAS DR, JOHNSON CITY, TN 37604
(423) 283-9234
(423) 975-2210
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN 0000077907
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
APN 0000006292
TN
Other
Enumeration date
07/21/2006
Last updated
03/07/2023
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