EAST TENNESSEE STATE UNIVERSITY
NPI: 1568570273
· JOHNSON CITY, TN 37614
· Primary Care Nurse Practitioner
· NPI assigned 08/25/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KING, BETTY (ACTING CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 08/25/2006 |
Related Entities
Other providers sharing the same authorized official: KING, BETTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
15 |
$0.00 |