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NPI Code Detail

MEDICARE: SARA NATASHA DOMBY FNP

MEDICARE:   SARA NATASHA DOMBY  FNP
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
1363LF0000XFamily Nurse Practitioner32616TN
2363LF0000XFamily Nurse Practitioner0024185126VA

General Provider Information

NPI Number : 1841914348
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA NATASHA DOMBY FNP
Provider Business Mailing Address
First Line : 1021 W OAKLAND AVE STE 310
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2192
Country : US
Telephone Number : 423-952-2111
Fax Number :
Provider Business Practice Location Address
First Line : 127 HEALTH CARE DR STE 3
Second Line :
City : PENNINGTON GAP
State : VA
Zip : 24277-2853
Country : US
Telephone Number : 423-230-5000
Fax Number : 276-679-0940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2022
Last Update Date : 01/05/2026

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Directions to “ SARA NATASHA DOMBY FNP” Practice Location

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