Fraley, Johnny Dwayne

Fraley, Johnny Dwayne is an individual health care provider with primary practice located at 1905 American Way , Kingsport TN 37660-5882. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Fraley, Johnny Dwayne can be contacted via phone (423) 224-4000.

Contact Information

Primary practice address
1905 American Way Kingsport TN 37660-5882
Phone: (423) 224-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024179740 Virginia

Profile Details

NPI number 1427666460
LBN Legal business name Fraley, Johnny Dwayne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2020
Last updated Jul 15th, 2020 - about 4 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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