Healthcare Provider Details

I. General information

NPI: 1205756558
Provider Name (Legal Business Name): DAWNNA E BURCHETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W STONE DR STE 200
KINGSPORT TN
37660-6028
US

IV. Provider business mailing address

108 FURCHES DR APT 4
JOHNSON CITY TN
37615-2860
US

V. Phone/Fax

Practice location:
  • Phone: 423-408-7021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number30618
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number0202220748
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number46167
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: