Individual
MRS. ALISON REPASS HERRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 N STATE OF FRANKLIN RD STE 130, JOHNSON CITY, TN 37604-6972
(423) 431-2477
(423) 431-2477
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN176646
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
11273
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983500213A
—
GA
Enumeration date
12/11/2006
Last updated
02/16/2021
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