Most Relevant Information
Provider Data
| NPI Number: | 1003260191 |
| Provider Name: | CONNIE T RUTLEDGE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024173715 |
Most Important Dates
| Enumeration Date: | 04/15/2016 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
121 BOONE RIDGE DR STE 1004
JOHNSON CITY
TN
376154993
Practice Location Phone/Fax
| Phone: | 4237945988 |
| Fax: | 4232328583 |
Provider Mailing Location
121 BOONE RIDGE DR STE 1004
JOHNSON CITY
TN
376154993
Provider Mailing Phone/Fax
| Phone: | 4237945988 |
| Fax: | 4232328583 |