Countiss, Paula

Countiss, Paula is an individual health care provider with primary practice located at 1 Medical Park Blvd Suite 458-W, Bristol TN 37620-7430. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Countiss, Paula can be contacted via phone (423) 844-4975.

Contact Information

Primary practice address
1 Medical Park Blvd Suite 458-W Bristol TN 37620-7430
Phone: (423) 844-4975
Fax: (423) 844-4987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5263 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5263 Tennessee

Profile Details

NPI number 1649205907
LBN Legal business name Countiss, Paula
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 23rd, 2007 - about 17 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 1649205907 NPPES
Tennessee MEDICAID 3345927

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