MIRANDA BOSTIC

SEVIERVILLE, TN
NPI1346668050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  26208)
Enumeration Date2014-03-31
Last Update Date2020-02-04
Business Address
MIRANDA BOSTIC NP
1096 ALPINE DR
SEVIERVILLE, TN 37876-7825
Phone number: 844-814-2030
Mailing Address
MIRANDA BOSTIC NP
307 CLOVER CIR
JACKSBORO, TN 37757-4643
Phone number: 423-494-9100