Individual
LYDIA POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
208 E UNAKA AVE, JOHNSON CITY, TN 37601-4626
(423) 926-0940
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, JOHNSON CITY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
212561
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27206
TN
Other
Enumeration date
12/09/2019
Last updated
02/24/2021
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