Harless, Angela

Harless, Angela is an individual health care provider with primary practice located at 4 Sheridan Sq Ste 200 , Kingsport TN 37660-7435. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Harless, Angela can be contacted via phone (423) 246-7931.

Contact Information

Primary practice address
4 Sheridan Sq Ste 200 Kingsport TN 37660-7435
Phone: (423) 246-7931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 224683 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 27946 Tennessee

Profile Details

NPI number 1962020750
LBN Legal business name Harless, Angela
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2020
Last updated Jan 17th, 2024 - about 2 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 1962020750 NPPES
Tennessee MEDICAID Q059857

Popular Providers