| Doctor Name: | VIRGINIA A. THURSTON |
| NPI Number: | 1043611882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 18819 |
| Business Practice Address: | 613 Campus Dr Suite 100 Abingdon, VA - 242109703 |
| Business Phone Number: | 2762581670 |
| Business Fax Number: | 2762581672 |
| Mailing Address: | 509 Medtech Pkwy, Suite 100 JOHNSON CITY |
| State: | TN |
| Postal Code: | 37604 |
| Phone Number: | 4233021355 |
| Fax Number: | 4239522145 |
| NPI Enumeration Date: | 09/11/2014 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18819 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |