Individual
MRS. JUDY POMEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-3250
(423) 224-3258
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN138344
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3641550
—
TN
Enumeration date
07/17/2006
Last updated
11/01/2007
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