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NPI Code Detail

MEDICARE: MRS. SONJA L FURSE PMHNP

MEDICARE: MRS. SONJA L FURSE PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP 924577FL

General Provider Information

NPI Number : 1386805414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONJA L FURSE PMHNP
Provider Business Mailing Address
First Line : 100 5TH ST STE 310
Second Line :
City : BRISTOL
State : TN
Zip : 37620-5919
Country : US
Telephone Number : 865-588-3173
Fax Number :
Provider Business Practice Location Address
First Line : 100 5TH ST STE 310
Second Line :
City : BRISTOL
State : TN
Zip : 37620-5919
Country : US
Telephone Number : 865-588-3173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 01/08/2026

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