Individual
FELICIA GRACE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2204 PAVILION DR STE 210, KINGSPORT, TN 37660-4652
(423) 224-3933
(423) 224-3934
Mailing address
2204 PAVILION DR STE 210, KINGSPORT, TN 37660-4652
(423) 224-3933
(423) 224-3934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000026746
TN
Other
Enumeration date
01/23/2020
Last updated
09/08/2020
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