MEDICARE: MRS. PAGE S STERLING APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	APN0000007340	TN
2	363L00000X	Nurse Practitioner	APN0000007340	TN
3	363LF0000X	Family Nurse Practitioner	APN0000007340	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4117461	OTHER	TN	BLUE CROSS BLUE SHIELD PR

General Provider Information

NPI Number	:	1104894641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAGE S STERLING APRN

Provider Business Mailing Address
First Line	:	2811 W MARKET ST
Second Line	:	SUITE 1
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-5127
Country	:	US
Telephone Number	:	423-928-2135
Fax Number	:	423-928-5814

Provider Business Practice Location Address
First Line	:	2811 W MARKET ST
Second Line	:	SUITE 1
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-5127
Country	:	US
Telephone Number	:	423-928-2135
Fax Number	:	423-928-5814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	10/02/2025

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