STEPHANIE RENEE ROACH

KINGSPORT, TN
NPI1275820599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  15751)
Enumeration Date2011-07-07
Last Update Date2011-07-07
Business Address
-- STEPHANIE RENEE ROACH FNP
2020 BROOKSIDE DR SUITE 20
KINGSPORT, TN 37660-4633
Phone number: 423-247-7030
Mailing Address
-- STEPHANIE RENEE ROACH FNP
PO BOX 4842
JOHNSON CITY, TN 37602-4842
Phone number: 423-247-7030
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