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Individual

FAY LYNN BEMBRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
119 BOONE RIDGE DRIVE STE. 201, JOHNSON CITY, TN 37615
(423) 282-7480
(423) 928-1353
Mailing address
119 BOONE RIDGE DRIVE STE. 201, JOHNSON CITY, TN 37615
(423) 282-7480
(423) 928-1353

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6745
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024167103
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN6745
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3347678
TN
Enumeration date
09/25/2006
Last updated
05/28/2014
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