Healthcare Provider Details

I. General information

NPI: 1932582012
Provider Name (Legal Business Name): LAUREN E SNAPP NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BOONE RIDGE DR STE 1004
JOHNSON CITY TN
37615-4993
US

IV. Provider business mailing address

PO BOX 632476
CINCINNATI OH
45263-2476
US

V. Phone/Fax

Practice location:
  • Phone: 423-794-5988
  • Fax: 423-232-8583
Mailing address:
  • Phone: 423-794-5988
  • Fax: 423-232-8583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024173049
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number20964
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number185995
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: