Individual
MRS. CHRISTAL SHEETS WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 431-0512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15780
TN
Other
Enumeration date
04/05/2011
Last updated
12/07/2011
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