Individual
MS. LYNDA G WEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5176
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33462251
—
TN
Enumeration date
03/20/2006
Last updated
12/09/2015
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