Individual
BRITTNEY D. VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
240 MEDICAL PARK BLVD STE 3000, BRISTOL, TN 37620-7352
(423) 990-2400
(423) 990-2405
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 390-3340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0000010979
TN
363LF0000X
Family Nurse Practitioner
0000010979
TN
363LF0000X
Family Nurse Practitioner
0024166487
VA
363LF0000X
Family Nurse Practitioner
Primary
10979TN
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010201012
—
VA
01
—
1513447
AMERICHOICE TN CARE
TN
Enumeration date
08/12/2006
Last updated
12/11/2019
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