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Individual

ELIJAH TODD SAMSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
430 W RAVINE RD, KINGSPORT, TN 37660-3868
(423) 245-3161
(423) 245-8916
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
39524
TN

Other

Enumeration date
08/27/2025
Last updated
01/05/2026
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