Healthcare Provider Details

I. General information

NPI: 1477258846
Provider Name (Legal Business Name): HARPER ALEXIS BALDWIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 MED TECH PKWY STE 100
JOHNSON CITY TN
37604-2392
US

IV. Provider business mailing address

PO BOX 632476
CINCINNATI OH
45263-2476
US

V. Phone/Fax

Practice location:
  • Phone: 423-282-5611
  • Fax: 423-282-5712
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6777
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: