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NPI Code Detail

MEDICARE: MRS. JOHANNA GALYEN FNP-C

MEDICARE: MRS. JOHANNA GALYEN FNP-C
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
1363LF0000XFamily Nurse Practitioner31857TN
2363LF0000XFamily Nurse Practitioner0024185326VA

General Provider Information

NPI Number : 1649915893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOHANNA GALYEN FNP-C
Provider Business Mailing Address
First Line : 1021 W OAKLAND AVE STE 310
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2192
Country : US
Telephone Number : 423-952-2111
Fax Number :
Provider Business Practice Location Address
First Line : 111 W STONE DR STE 200
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-6028
Country : US
Telephone Number : 423-723-2030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 03/02/2026

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