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1225505001
HEATHER PHELPS
KINGSPORT, TN
NPI
1225505001
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Former Name
HEATHER QUALLS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 25033)
Enumeration Date
2018-10-30
Last Update Date
2019-09-26
Business Address
HEATHER PHELPS NP-C
105 W STONE DR STE 4B
KINGSPORT, TN 37660-3365
Phone number: 423-578-1570
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Mailing Address
HEATHER PHELPS NP-C
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2093
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