JUSTIN BROUGHTON

KINGSPORT, TN
NPI1477391894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  APN0000036082)
Enumeration Date2024-07-18
Last Update Date2024-07-18
Business Address
JUSTIN BROUGHTON FNP-C
130 W RAVINE RD STE 3A
KINGSPORT, TN 37660-3841
Phone number: 828-380-0465
Mailing Address
JUSTIN BROUGHTON FNP-C
301 BETHANY DR
JONESBOROUGH, TN 37659-5691
Phone number: 828-380-0465
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