Individual
CYNTHIA L. CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136
Mailing address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000013416
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3380668
MEDICARE GROUP PTAN
TN
01
—
4259551
BCBS-TN
TN
Enumeration date
04/29/2008
Last updated
12/21/2010
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