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Individual

ASHLEY SAMANIEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2204 PAVILION DR STE 107, KINGSPORT, TN 37660-4651
(423) 343-1442
(423) 722-3009
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
180297
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
36562
TN

Other

Enumeration date
06/30/2023
Last updated
01/05/2026
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