Individual
LISA L BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
615 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8209
(423) 930-8337
(423) 926-1047
Mailing address
615 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8209
(423) 930-8337
(423) 926-1047
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
173342
TN
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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