Individual
CHRISTY WILLOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5010
Mailing address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7332
(423) 230-5000
(423) 230-5010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
119820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010011469
—
VA
01
—
0191
JOHN DEERE
IL
05
—
3909537
—
TN
Enumeration date
07/18/2006
Last updated
09/26/2024
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