Individual
ANGELA D DESCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
301 MED TECH PKWY, STE 240, JOHNSON CITY, TN 37604
(423) 794-5520
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN0000141613
TN
363LF0000X
Family Nurse Practitioner
Primary
19051
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q007603
—
TN
Enumeration date
08/12/2014
Last updated
03/08/2021
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