Healthcare Provider Details

I. General information

NPI: 1821879982
Provider Name (Legal Business Name): SCYRON R MCINTURFF APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 MED TECH PKWY STE 200
JOHNSON CITY TN
37604-2371
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 423-302-3480
  • Fax: 423-833-0599
Mailing address:
  • Phone: 423-952-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number34823
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: