Individual
SALLY ANN HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7047
(423) 979-0569
Mailing address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7047
(423) 979-0569
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APN0000005082
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5082
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517566
—
TN
Enumeration date
10/30/2009
Last updated
02/10/2017
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