Individual
CALLIE E. TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 W STONE DR STE 1F, KINGSPORT, TN 37660-3365
(423) 230-2420
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169201
TN
363LF0000X
Family Nurse Practitioner
0024173100
VA
363LF0000X
Family Nurse Practitioner
Primary
20506
TN
Other
Enumeration date
08/13/2015
Last updated
01/21/2021
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