IndividualActive
Alicia Frasure, FNP, PMHNP
NPI 1750625539 · Psychiatric/Mental Health Nurse Practitioner · Johnson City, TN
Provider details
- NPI number
- 1750625539
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP, PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 17018 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
604 N Roan St Ste 101
Johnson City, TN 37601-4651
Phone: (423) 900-3534
Fax: (423) 558-2525
Approximate (ZIP-level) locationGet directions
Mailing address
1735 W State of Franklin Rd Ste 5
Johnson City, TN 37604
Registry dates
- Enumerated
- 2012-11-19
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.