Individual
MIRANDA N ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
29447
TN
363LF0000X
Family Nurse Practitioner
Primary
29447
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
29447
TN
Other
Enumeration date
06/03/2021
Last updated
03/06/2026
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