Individual
AMY LEIGH FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 W RAVINE RD, EMERGENCY DEPARTMENT, KINGSPORT, TN 37660-3837
(423) 224-3836
(423) 224-5120
Mailing address
415 BROAD ST, SUITE 410, KINGSPORT, TN 37660-4263
(423) 408-2960
(423) 398-5500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17404
TN
Other
Enumeration date
02/14/2013
Last updated
06/26/2014
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