Healthcare Provider Details

I. General information

NPI: 1740588987
Provider Name (Legal Business Name): HEATHER CHRISTINA LOYD F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER CHRISTINA BOWERY

II. Dates (important events)

Enumeration Date: 03/12/2011
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 MEDICAL PARK BLVD
BRISTOL TN
37620-7455
US

IV. Provider business mailing address

1021 W OAKLAND AVE STE 310
JOHNSON CITY TN
37604-2192
US

V. Phone/Fax

Practice location:
  • Phone: 423-274-8600
  • Fax: 276-378-1000
Mailing address:
  • Phone: 423-952-2111
  • Fax: 423-282-1657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15439
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001201631
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: