Healthcare Provider Details

I. General information

NPI: 1003764010
Provider Name (Legal Business Name): MEGAN MARIE FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604-6062
US

IV. Provider business mailing address

329 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604-6062
US

V. Phone/Fax

Practice location:
  • Phone: 423-979-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41280
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: