Individual
JON WIRSHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Contact information
Practice address
608 MONTEZUMA RD, KINGSPORT, TN 37664-4247
(423) 297-2696
Mailing address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193226
TN
363LF0000X
Family Nurse Practitioner
0024180462
VA
363LF0000X
Family Nurse Practitioner
Primary
27892
TN
Other
Enumeration date
05/29/2020
Last updated
05/06/2026
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