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Contact Information

MADONNA L LAFFEY, APRN
301 MED TECH PKWY STE 240
JOHNSON CITY, TN37604-2641
 Phone: 423-794-5520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MADONNA L LAFFEY · (Female)

NPI Number 1184053472
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 11/06/2013
Last updated 08/29/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 160343
  • TN License # 17836
  • KY Medicaid 7100285590
  • NC Medicaid 1184053472
  • TN Medicaid Q002716
  • VA Medicaid 1184053472
  • TN Other P01706810 RAILROAD MEDICARE
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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