Depew, Carissa Nichole

Depew, Carissa Nichole is an individual health care provider with primary practice located at 400 N State Of Franklin Rd , Johnson City TN 37604-6035. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Depew, Carissa Nichole can be contacted via phone (423) 431-6111.

Contact Information

Primary practice address
400 N State Of Franklin Rd Johnson City TN 37604-6035
Phone: (423) 431-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 23054 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23054 Tennessee

Profile Details

NPI number 1477079861
LBN Legal business name Depew, Carissa Nichole
Credentials DNP, AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2017
Last updated Dec 20th, 2022 - about 3 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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