Justin Broughton, FNP-C

NPI 1477391894 · on the registry since 2024

Practice

Address: 130 W Ravine Rd Ste 3a
Kingsport, TN 37660
Phone: (828) 380-0465
Organisation at this address: Walgreen Co
Id Micro Pllc
Wps Providers Inc
Kingsport Consultants
Wellmont Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 198

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee