Individual
NATOSHA LEVADA MATLOCK-CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-3150
(423) 224-3169
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
170938
TN
363LF0000X
Family Nurse Practitioner
0024173541
VA
363LF0000X
Family Nurse Practitioner
19233
TN
Other
Enumeration date
10/14/2014
Last updated
06/23/2016
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