Churchill, Sandra Diane

Churchill, Sandra Diane is an individual health care provider with primary practice located at 401 E Main St , Johnson City TN 37601-4877. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Churchill, Sandra Diane can be contacted via phone (423) 929-2584.

Contact Information

Primary practice address
401 E Main St Johnson City TN 37601-4877
Phone: (423) 929-2584
Fax: (423) 722-2060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN83123 Tennessee

Profile Details

NPI number 1912985748
LBN Legal business name Churchill, Sandra Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Feb 16th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912985748 NPPES
Other 1912985748 NPI NUMBER

Popular Providers