Individual
MRS. AMY BROCK FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
301 MED TECH PKWY, SUITE 280, JOHNSON CITY, TN 37604-2364
(423) 794-5550
(423) 928-0394
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 794-5738
(423) 283-9480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000012086
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517747
—
TN
Enumeration date
07/19/2006
Last updated
11/12/2017
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