MEDICARE: TRAVIS LEE VEAL RN

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	163W00000X	Registered Nurse	231298	TN

General Provider Information

NPI Number	:	1982561163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS LEE VEAL RN

Provider Business Mailing Address
First Line	:	201 W SPRINGDALE AVE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37917-5158
Country	:	US
Telephone Number	:	865-637-9711
Fax Number	:	865-637-4302

Provider Business Practice Location Address
First Line	:	WEST 3RD NORTH STREET
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814
Country	:	US
Telephone Number	:	423-581-4761
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	05/17/2026

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