MEDICARE: VALERIE BOWER TALLEY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	37754	TN

General Provider Information

NPI Number	:	1184432726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE BOWER TALLEY FNP

Provider Business Mailing Address
First Line	:	1060 W 7TH NORTH ST
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3852
Country	:	US
Telephone Number	:	865-310-8789
Fax Number	:

Provider Business Practice Location Address
First Line	:	3225 E ANDREW JOHNSON HWY
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-0965
Country	:	US
Telephone Number	:	423-972-4770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2024
Last Update Date	:	12/30/2024

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