Tabitha Starr Davidson
Nurse Practitioner - Family Medicine
105 W Stone Dr 4c
Kingsport
, Tennessee 37660-3256
Tabitha Starr Davidson
Nurse Practitioner - Family Medicine
105 W Stone Dr 4c
Kingsport
, Tennessee 37660-3256
(423) 246-6777
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Tabitha Starr Davidson
- 135 W Ravine Rd Ste 3-A
- Kingsport, TN
- Zip : 37660-3847
- Phone : (423) 246-6777
Second Address
- Tabitha Starr Davidson
- 105 W Stone Dr 4c
- Kingsport, TN
- Zip : 37660-3256
- Fax : (423) 392-6624
- Phone : (423) 578-1595
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Is Tabitha Starr Davidson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 13341 | TN |
National Provider Identifier
| NPI | 1003089129 |
|---|---|
| Provider Name | Tabitha Starr Davidson |
| First Address | Kingsport, TN 37660-3847 |
| Second Address | Kingsport, TN 37660-3256 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2008 |
| Last Update Date | 02/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103I086169 | (02) | TN |
| 1447283395 | (05) | VA |
| 39096741 | (02) | TN |
| 39096741 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.