Individual
SUZAN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6909
(423) 232-6900
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30230
TN
363L00000X
Nurse Practitioner
5012981
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
30230
TN
363LG0600X
Gerontology Nurse Practitioner
30230
TN
363LG0600X
Gerontology Nurse Practitioner
APN.0993052.NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740716927
—
NC
Enumeration date
05/05/2017
Last updated
03/06/2026
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