Individual
MEIRA YASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 STOUT DRIVE, SUITE 160, JOHNSON CITY, TN 37614-1703
(423) 433-6057
(423) 433-6060
Mailing address
PO BOX 52391, KNOXVILLE, TN 37950-2391
(865) 384-7476
(865) 381-1205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22082
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22082
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22082
STATE LICENSE
TN
05
—
Q027675
—
TN
Enumeration date
12/27/2016
Last updated
10/01/2018
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