Individual
JENNIFER L. STIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1319 SUNSET DR STE 103, JOHNSON CITY, TN 37604-7901
(423) 439-7246
(423) 282-4698
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7246
(423) 282-4698
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP22025
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q028004
—
TN
Enumeration date
03/23/2017
Last updated
01/29/2024
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