Individual
LAUREN ELIZABETH PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 W OAKLAND AVE STE 101, JOHNSON CITY, TN 37604-1677
(423) 888-0399
Mailing address
1404 CRESCENT DR, KINGSPORT, TN 37664-2036
(601) 540-0872
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
201402144RN
OR
363L00000X
Nurse Practitioner
202212408NP-PP
OR
363L00000X
Nurse Practitioner
Primary
32177
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201402144RN
RN NURSING LICENSE
OR
01
—
202212408NP-PP
APRN LICENSE
OR
01
—
264212
TN NURSING LICENSE
TN
01
—
32177
APRN LICENSE
TN
Enumeration date
11/27/2021
Last updated
08/29/2023
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