Individual
DESTINY SIERRA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W RAVINE RD STE 3A, KINGSPORT, TN 37660
(423) 245-6101
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33226
TN
Other
Enumeration date
10/20/2022
Last updated
01/10/2025
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