Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS ANGLE RENEE BUCKLES FNP
NPI 1417192741
Nurse Practitioner - Family in Johnson City, TN

Active since December 16, 2008
2514 WESLEY ST STE 102, JOHNSON CITY, TN 37601(423) 631-0236(423) 631-0237 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Angle Renee Buckles Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ANGLE RENEE BUCKLES FNP (NPI 1417192741) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (APRN0000014399) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1417192741
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS ANGLE RENEE BUCKLESCredential: FNP
Location Address2514 WESLEY ST STE 102Johnson City, TN 37601-1764
Mailing Address2514 Wesley St Ste 102Johnson City, TN 37601-1764 · (423) 631-0236 · Fax (423) 631-0237
Fax(423) 631-0237
Sole ProprietorNo
Enumeration DateDecember 16, 2008
Last NPPES UpdateJuly 5, 2026
NPI 1417192741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APRN0000014399
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN0000014399 (TN)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN0000014399 (TN)
2514 WESLEY ST STE 102, Johnson City, TN 37601

Other Names 1

Professional Name (2)Miss Renee Buckles Fnp

Other Identifiers 1

Other4243703TN · Bluecross Blueshield

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2514 WESLEY ST STE 102
JOHNSON CITY, TN 37601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angle Buckles's NPI number?

The NPI number for Angle Buckles is 1417192741. It was assigned to this individual provider in the NPPES registry on December 16, 2008. The provider is also known as Miss Renee Buckles Fnp.

Where is Angle Buckles located?

Angle Buckles practices at 2514 Wesley St Ste 102, Johnson City, TN 37601. The listed phone number is (423) 631-0236.

What is Angle Buckles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Angle Buckles was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.