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Organization

EAST TENNESSEE SKILLED CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EMMALEA ELIZABETH JOHNSTON FNP (FAMILY NURSE PRACTITIONER/CEO)
(423) 773-9555
Entity
Organization

Contact information

Practice address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 773-9555
(423) 913-4123
Mailing address
PO BOX 4300, JOHNSON CITY, TN 37602-4300
(423) 773-9555
(423) 913-4123

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN166309
TN
363LF0000X
Family Nurse Practitioner
Primary
APN15811
TN

Other

Enumeration date
08/28/2013
Last updated
10/17/2013
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