Bembry, Fay Lynn

Bembry, Fay Lynn is an individual health care provider with primary practice located at 119 Boone Ridge Drive Ste. 201 , Johnson City TN 37615. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bembry, Fay Lynn can be contacted via phone (423) 282-7480.

Contact Information

Primary practice address
119 Boone Ridge Drive Ste. 201 Johnson City TN 37615
Phone: (423) 282-7480
Fax: (423) 928-1353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN6745 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6745 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024167103 Virginia

Profile Details

NPI number 1811098908
LBN Legal business name Bembry, Fay Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated May 28th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811098908 NPPES
Tennessee MEDICAID 3347678

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