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NPI Code Detail

MEDICARE: JOHN NEWELL KING FNP-C

MEDICARE: JOHN NEWELL KING FNP-C
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
1363LA2100XAcute Care Nurse Practitioner34391TN
2363L00000XNurse PractitionerRN70073767WA

General Provider Information

NPI Number : 1538947957
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN NEWELL KING FNP-C
Provider Business Mailing Address
First Line : 2415 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3882
Country : US
Telephone Number : 423-559-2800
Fax Number : 423-559-0532
Provider Business Practice Location Address
First Line : 2415 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3882
Country : US
Telephone Number : 423-559-2800
Fax Number : 423-559-0532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2023
Last Update Date : 12/08/2025

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Directions to “ JOHN NEWELL KING FNP-C” Practice Location

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