Buckles, Angle Renee
Buckles, Angle Renee is an individual health care provider with primary practice located at 2514 Wesley St Ste 102 , Johnson City TN 37601-1764. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Buckles, Angle Renee can be contacted via phone (423) 631-0236.Contact Information
Primary practice address
2514 Wesley St Ste 102
Johnson City TN 37601-1764
Phone: (423) 631-0236
Fax: (423) 631-0237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN0000014399 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN0000014399 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN0000014399 | Tennessee |
Profile Details
| NPI number | 1417192741 |
|---|---|
| LBN Legal business name | Buckles, Angle Renee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2008 |
| Last updated | May 16th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417192741 | NPPES |
| Tennessee | Other | 4243703 | BLUECROSS BLUESHIELD |
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