Individual
KATHERINE R. BURNISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
701 MED TECH PKWY, SUITE 300, JOHNSON CITY, TN 37604-2365
(432) 232-8301
(423) 232-8304
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5823
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3901984
—
TN
Enumeration date
07/18/2006
Last updated
12/09/2009
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