| Doctor Name: | DR. EARL DAN BEMBRY |
| NPI Number: | 1952407124 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, FNP-BC |
| License Number: | APN0000011921 |
| Business Practice Address: | 4940 Highway 33 S New Tazewell, TN - 378252631 |
| Business Phone Number: | 4235260009 |
| Business Fax Number: | 4235262047 |
| Mailing Address: | 4940 Highway 33 South, NEW TAZEWELL |
| State: | TN |
| Postal Code: | 37825 |
| Phone Number: | 4235260009 |
| Fax Number: | 4235262047 |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000011921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |