Fraley, Johnny Dwayne
Fraley, Johnny Dwayne is an individual health care provider with primary practice located at 1905 American Way , Kingsport TN 37660-5882. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Fraley, Johnny Dwayne can be contacted via phone (423) 224-4000.Contact Information
Primary practice address
1905 American Way
Kingsport TN 37660-5882
Phone: (423) 224-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 0024179740 | Virginia |
Profile Details
| NPI number | 1427666460 |
|---|---|
| LBN Legal business name | Fraley, Johnny Dwayne |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2020 |
| Last updated | Jul 15th, 2020 - about 6 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.
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