Healthcare Provider Details

I. General information

NPI: 1073140752
Provider Name (Legal Business Name): ABIGAIL S LOWE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16000 JOHNSTON MEMORIAL DR STE 212A
ABINGDON VA
24211-7664
US

IV. Provider business mailing address

1 MEDICAL PARK BLVD STE 2W
BRISTOL TN
37620-7430
US

V. Phone/Fax

Practice location:
  • Phone: 276-258-3740
  • Fax: 276-258-3745
Mailing address:
  • Phone: 423-844-4119
  • Fax: 423-844-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27015
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024178748
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024178748
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number27015
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: