Mcqueen, Emily B.

Mcqueen, Emily B. is an individual health care provider with primary practice located at 1901 South Shady Street , Mountain City TN 37683. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcqueen, Emily B. can be contacted via phone (423) 727-1103.

Contact Information

Primary practice address
1901 South Shady Street Mountain City TN 37683
Fax: (423) 727-1140
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20380 Tennessee

Profile Details

NPI number 1013390764
LBN Legal business name Mcqueen, Emily B.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Feb 16th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013390764 NPPES
Virginia MEDICAID 1013390764
Virginia MEDICAID Q021209

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