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Individual

CHRISTY BANTONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1653 MOORESVILLE HWY, LEWISBURG, TN 37091
(931) 359-4506
(615) 851-2018
Mailing address
2717 E OAKLAND AVE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26450
TN
363LA2200X
Adult Health Nurse Practitioner
A005173
AR
363LG0600X
Gerontology Nurse Practitioner
26450
TN

Other

Enumeration date
06/19/2017
Last updated
10/28/2025
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