Buckles, Angle Renee

Buckles, Angle Renee is an individual health care provider with primary practice located at 2514 Wesley St Ste 102 , Johnson City TN 37601-1764. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Buckles, Angle Renee can be contacted via phone (423) 631-0236.

Contact Information

Primary practice address
2514 Wesley St Ste 102 Johnson City TN 37601-1764
Phone: (423) 631-0236
Fax: (423) 631-0237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN0000014399 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN0000014399 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN0000014399 Tennessee

Profile Details

NPI number 1417192741
LBN Legal business name Buckles, Angle Renee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2008
Last updated May 16th, 2011 - about 14 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 1417192741 NPPES
Tennessee Other 4243703 BLUECROSS BLUESHIELD

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