Debra Jo Uncapher
Nurse Practitioner, Family in Johnson City, TN. Organization (NPI-2).
Details
- NPI
- 1730755083
- Entity type
- Organization (NPI-2)
- Legal business name
- Debra Jo Uncapher
- Organization subpart
- No
- Enumeration date
- May 27, 2021
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- Prestige Family Medicine (Doing Business As)
Practice location
1409 W Market St Ste 108Johnson City, TN 37604-6005
Phone 423-833-0033 · Fax 423-833-0031
Mailing address
1409 W Market St Ste 108Johnson City, TN 37604-6005
Phone 423-833-0033 · Fax 423-833-0031
Authorized official
Debra Uncapher
Owner
4238330033
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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