Individual
JAMIE E CARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PROFRESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604
(423) 232-6900
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19369
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346632783
—
TN
Enumeration date
02/23/2015
Last updated
01/02/2024
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