Individual
AIMEE ELIZABETH LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
415 BROAD STREET, STE 410, KINGSPORT, TN 37660-4264
(423) 239-9737
(423) 398-5500
Mailing address
PO BOX 11827, DAYTONA BEACH, FL 32120-1827
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17009
TN
Other
Enumeration date
08/14/2012
Last updated
09/28/2012
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