Individual
MS. JANICE F EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2428 KNOB CREEK RD, STE 102, JOHNSON CITY, TN 37604-2397
(423) 794-1074
(423) 794-1079
Mailing address
6701 BAUM DR, STE 140, KNOXVILLE, TN 37919-7360
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6090
TN
363LF0000X
Family Nurse Practitioner
71329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010230462
—
VA
Enumeration date
07/19/2006
Last updated
12/15/2016
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