EAST TENNESSEE STATE UNIVERSITY

GRAY, TN
NPI1033344007
Doing Business AsDANIEL BOONE HIGH SCHOOL BASED CLINIC
Entity TypeOrganization
Authorized ContactBETTY J. KING
Acting Chief Financial Officer
423-439-4414
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2009-05-20
Last Update Date2017-02-23
Business Address
EAST TENNESSEE STATE UNIVERSITY
1440 SUNCREST DR
GRAY, TN 37615-4118
Phone number: 423-477-1634
Mailing Address
EAST TENNESSEE STATE UNIVERSITY
365 STOUT DRIVE BOX 70403
JOHNSON CITY, TN 37614-1703
Phone number: 423-439-4071