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WANDA KING
NPI 1679958995
Nurse Practitioner in Kingsport, TN

Active since July 28, 2015
105 W STONE DR, STE 4C, KINGSPORT, TN 37660(423) 578-1595 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wanda King NPPES

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

WANDA KING (NPI 1679958995) is an individual nurse practitioner in Kingsport, Tennessee, licensed in New Mexico (CNP-58574) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1679958995
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWANDA KING
Location Address105 W STONE DR, STE 4CKingsport, TN 37660-3365
Mailing Address2539 Medical Dr, Ste 107Alamogordo, NM 88310-8720 · (575) 446-5940 · Fax (575) 446-5944
Phone(423) 578-1595
Sole ProprietorNo
Enumeration DateJuly 28, 2015
Last NPPES UpdateJanuary 10, 2020
✔ NPI 1679958995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NM · CNP-58574✔ Licensed in TN · APN20121
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
105 W STONE DR, Kingsport, TN 37660
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Other Providers at the Same Location NPPES 20

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

DR. DALLAS SHONE MD
Internal Medicine (Gastroenterology)
105 W STONE DR, STE 4C
KINGSPORT, TN 37660
Sullivan County (423) 578-1595
DR. EDWARD MONTY STIRMAN M.D.
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 323-6200
JERRY MILLER MD
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 392-6200
DR. CHERYL STANSKI MD
Surgery
105 W STONE DR, STE 4A
KINGSPORT, TN 37660
Sullivan County (423) 392-6265
DR. SCOTT FOWLER M.D.
Obstetrics & Gynecology
105 W STONE DR, STE 2B
KINGSPORT, TN 37660
Sullivan County (423) 247-7500
HOLSTON MEDICAL GROUP, PC
Durable Medical Equipment & Medical Supplies
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 392-6200
DR. JAMES MCCOY M.D.
Family Medicine
105 W STONE DR, STE 1F
KINGSPORT, TN 37660
Sullivan County (276) 386-5980
ABRAM ARWOOD PT, DPT
Physical Therapist
105 W STONE DR, STE 1D
KINGSPORT, TN 37660
Sullivan County (423) 578-1560

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 Wanda King's NPI number?

The NPI number for Wanda King is 1679958995. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Wanda King located?

Wanda King practices at 105 W Stone Dr Ste 4C, Kingsport, TN 37660. The listed phone number is (423) 578-1595.

What is Wanda King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Wanda King was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.