Individual
JONATHAN LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 HAMMONDS RD, WATAUGA, TN 37694-3061
(423) 213-0495
Mailing address
120 HAMMONDS RD, WATAUGA, TN 37694-3061
(423) 213-0495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27198
TN
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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