Healthcare Provider Details

I. General information

NPI: 1629030085
Provider Name (Legal Business Name): CAROL ORR CNS/APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CUMBERLAND ST HELEN ROSS MCNABB CENTER
CHATTANOOGA TN
37404-1922
US

IV. Provider business mailing address

201 W SPRINGDALE AVE HELEN ROSS MCNABB CENTER
KNOXVILLE TN
37917-5158
US

V. Phone/Fax

Practice location:
  • Phone: 423-266-6751
  • Fax:
Mailing address:
  • Phone: 865-329-9058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number15305
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: