Provider Demographics
NPI:1043017031
Name:VALLIE, FALON NICOLE (FALON VALLIE FNP-BC)
Entity type:Individual
Prefix:
First Name:FALON
Middle Name:NICOLE
Last Name:VALLIE
Suffix:
Gender:
Credentials:FALON VALLIE FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 VANDERBILT DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-5116
Mailing Address - Country:US
Mailing Address - Phone:423-741-9522
Mailing Address - Fax:
Practice Address - Street 1:500 LOVE ST
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-1734
Practice Address - Country:US
Practice Address - Phone:423-735-4160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36689207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine