Lackner, Constance Sue

Lackner, Constance Sue is an individual health care provider with primary practice located at 109 W Watauga Ave , Johnson City TN 37604-5621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lackner, Constance Sue can be contacted via phone (423) 232-2600.

Contact Information

Primary practice address
109 W Watauga Ave Johnson City TN 37604-5621
Fax: (423) 467-3644
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN07278 Tennessee

Profile Details

NPI number 1922068022
LBN Legal business name Lackner, Constance Sue
Credentials MSN APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 4th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922068022 NPPES
Tennessee Other 3143910 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3345085 BLUE CROSS BLUE SHIELD
Tennessee Other 890000552 BLUE CROSS BLUE SHIELD

Popular Providers