MEDICARE: DIGNIFIED HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1124747605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNIFIED HEALTHCARE

Provider Business Mailing Address
First Line	:	5450 HIGHWAY 153 STE 126
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-3791
Country	:	US
Telephone Number	:	865-201-7035
Fax Number	:	865-761-2726

Provider Business Practice Location Address
First Line	:	5450 HIGHWAY 153 STE 126
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-3791
Country	:	US
Telephone Number	:	865-201-7035
Fax Number	:	865-761-2726

Authorized Official
Title or Position	:	APRN
Name	:	KENDRA PORTER
Credential	:
Telephone Number	:	865-399-9358

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	08/26/2022

Similar Medicare Providers

1063986438 — MRS. NATALIE AKINS M.S., M.A., AMFT
Practice Location Address:

5450 HIGHWAY 153 STE 126
HIXSON, TN
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Practice Phone: 423-503-2612
Practice Fax:

1174075360 — LAKENDRA PORTER NP
Practice Location Address:

5450 HIGHWAY 153 STE 126
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1558971820 — MEGHAN ELIZABETH MCDONOUGH PA
Practice Location Address:

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1871226878 — HOPE VICTORIA LEDGER APRN, FNP-BC
Practice Location Address:

4490 HIXSON PIKE
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Practice Phone: 423-875-0700
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1427449610 — BRANDON RENFROE
Practice Location Address:

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1174470637 — ANDREW DOWLING MA
Practice Location Address:

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Practice Phone: 423-933-2575
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Directions to “DIGNIFIED HEALTHCARE ” Practice Location

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