Individual
ALICE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1754 US HIGHWAY 23 N, WEBER CITY, VA 24290
(276) 386-9771
(276) 386-5980
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 390-3340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN5728
TN
207Q00000X
Family Medicine Physician
RN0000058238
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511137
—
TN
05
—
3380594
—
TN
Enumeration date
05/18/2006
Last updated
08/29/2019
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