Individual
KIERRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
135 W RAVINE RD, KINGSPORT, TN 37660-3847
(423) 246-6777
Mailing address
135 W RAVINE RD STE 3-A, KINGSPORT, TN 37660-3847
(423) 246-6777
(423) 857-1160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36892
TN
363LF0000X
Family Nurse Practitioner
36982
TN
Other
Enumeration date
08/15/2024
Last updated
06/17/2025
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