Weatherly, Lynda G

Weatherly, Lynda G is an individual health care provider with primary practice located at 119 Boone Ridge Dr Suite 201, Johnson City TN 37615-4998. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Weatherly, Lynda G can be contacted via phone (423) 282-1480.

Contact Information

Primary practice address
119 Boone Ridge Dr Suite 201 Johnson City TN 37615-4998
Phone: (423) 282-1480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5176 Tennessee

Profile Details

NPI number 1821057738
LBN Legal business name Weatherly, Lynda G
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 9th, 2015 - about 11 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 1821057738 NPPES
Tennessee MEDICAID 33462251

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