Individual
CASEY MAE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2328 KNOB CREEK RD, JOHNSON CITY, TN 37604-2584
(423) 722-1311
Mailing address
2328 KNOB CREEK RD, JOHNSON CITY, TN 37604-2584
(423) 722-1311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32159
TN
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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