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General NPI Number Information
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NPI Number | 1720313182
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Entity Type | Individual
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Provider Name | JOELY ANN CARTER WAY F.N.P.-BC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 401 PRINCETON RD
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City | JOHNSON CITY
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State | TN
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Zip | 37601-2028
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Country | US
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Telephone | 423-854-5880
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Fax | 423-854-5685
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Provider Business Mailing Address
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Address Line | 401 PRINCETON RD
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City | JOHNSON CITY
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State | TN
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Zip | 37601-2028
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Country | US
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Telephone | 423-854-5880
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Fax | 423-854-5685
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000014307
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License Number State | TN
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