NPI 1003289612

Katie Lynne Styke Boslooper, PA

Practitioner Physician Assistant Greeneville, TN

Practice location

Address: 1420 Tusculum Blvd, Greeneville, TN 37745-4279
Phone: (423) 787-5000
Mailing address: 1021 W Oakland Ave STE 310, Johnson City, TN 37604-2192

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2866 (TN)

Other Physician Assistant providers in Tennessee →

Registry record

NPI: 1003289612
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2015
Record last updated: 7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.