Frasure, Alicia D

Frasure, Alicia D is an individual health care provider with primary practice located at 154 Blountville Byp , Blountville TN 37617-4575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Frasure, Alicia D can be contacted via phone (423) 279-2777.

Contact Information

Primary practice address
154 Blountville Byp Blountville TN 37617-4575
Phone: (423) 279-2777
Fax: (423) 279-2797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17018 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024171150 Virginia

Profile Details

NPI number 1750625539
LBN Legal business name Frasure, Alicia D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Dec 23rd, 2014 - about 12 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 1750625539 NPPES
Tennessee MEDICAID 1530700
Tennessee Other 0024171150
Tennessee Other APN17018
Tennessee Other RN169173

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