Individual
MRS. BONNIE L MESSERSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2995 FORT HENRY DR, SUITE 100, KINGSPORT, TN 37664-4005
(423) 246-6445
(423) 246-8240
Mailing address
2995 FORT HENRY DR, SUITE 100, KINGSPORT, TN 37664-4005
(423) 246-6445
(423) 246-8240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6704
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3908262
—
TN
01
—
TN0103
JOHN DEER HEALTH
TN
Enumeration date
05/03/2006
Last updated
09/28/2013
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