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NPI Code Detail

MEDICARE: DEBORAH UPCHURCH HOWARD APN

MEDICARE: DEBORAH UPCHURCH HOWARD APN
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
1364SA2100XAcute Care Clinical Nurse Specialist0000015730TN
2363LF0000XFamily Nurse Practitioner5014398NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306139365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH UPCHURCH HOWARD APN
Provider Business Mailing Address
First Line : PO BOX 368
Second Line :
City : WARTBURG
State : TN
Zip : 37887-0368
Country : US
Telephone Number : 423-346-5566
Fax Number : 423-346-5631
Provider Business Practice Location Address
First Line : 1236 KNOXVILLE HWY
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4200
Country : US
Telephone Number : 423-346-5566
Fax Number : 423-346-5631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2011
Last Update Date : 12/20/2023

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