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Individual

MS. JULE ELLEN MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2002 BROOKSIDE DR STE 102, KINGSPORT, TN 37660-4634
(423) 245-6000
(423) 245-4190
Mailing address
2002 BROOKSIDE DR, STE 102, KINGSPORT, TN 37660-4634
(423) 245-6000
(423) 245-4190

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024169320
VA
363LF0000X
Family Nurse Practitioner
Primary
156859
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15659
APN
TN
Enumeration date
05/06/2011
Last updated
01/28/2020
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