Mr. Johnny Dwayne Fraley

FNP | Nurse Practitioner - Family | 5+ years Exp

130 W Ravine Rd, Kingsport
  Tennessee, 37660
423-224-4000
Accepts Medicare Nurse Anesthetist in Kingsport, Tennessee.
Mr. Johnny Dwayne Fraley is a Kingsport, Tennessee based nurse practitioner with 5 years of experience in Family. He completed his graduation from East Tennessee State University Quillen College Of Medicine in 2020. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Johnny Dwayne Fraley is 32564 for Family in Tennessee. His current practice location is 130 W Ravine Rd, Kingsport. Patients can reach him at 423-224-4000. Mr. Johnny Dwayne Fraley is FNP with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1427666460.
Mr. Johnny Dwayne Fraley delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mr. Johnny Dwayne Fraley speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Johnny Dwayne Fraley
Specialization: Family Nurse Practitioner (FNP)
Gender:Male
Credentials: FNP
Experience: 5+ years
Medical School Attended:East Tennessee State University Quillen College Of Medicine
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:130 W Ravine Rd, Kingsport,
Tennessee, 37660
Phone:423-224-4000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8628029063
Enrollment ID: I20200911002704
NPI Number: 1427666460
NPI Enumeration Date: 15 Jul, 2020
NPI Last Update On: 22 Apr, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Johnny Dwayne Fraley are as mentioned below.
License NumberSpecializationStateStatus
32564Family TennesseePrimary
0024179740Family VirginiaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(490114)Big stone gap, VAAcute Care Hospital
(491303)Clintwood, VACritical Access Hospital
(440017)Kingsport, TNAcute Care Hospital
(490111)Wytheville, VAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Johnny Dwayne Fraley is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Wellmont Cardiology Services (5799970281)117
Wellmont Medical Associates Inc (8123291739)335
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Johnny Dwayne Fraley
1021 W Oakland Ave Ste 310,
Johnson City, Tennessee
Zip: 37604-2192
Phone Number: 423-952-2111
Fax Number: 423-282-1657
Patients can reach Mr. Johnny Dwayne Fraley at 130 W Ravine Rd, Kingsport, Tennessee or can call to book an appointment on 423-224-4000.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.