Individual
MR. JOHNNY DWAYNE FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-6442
(423) 224-3689
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024179740
VA
363LF0000X
Family Nurse Practitioner
Primary
32564
TN
Other
Enumeration date
07/15/2020
Last updated
01/08/2026
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