Healthcare Provider Details

I. General information

NPI: 1982523429
Provider Name (Legal Business Name): HAVEN LILLIAN PRESSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HAVEN ANDERSON

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 FRANK L DIGGS DR
CLINTON TN
37716-6953
US

IV. Provider business mailing address

155 FRANK L DIGGS DR
CLINTON TN
37716-6953
US

V. Phone/Fax

Practice location:
  • Phone: 865-666-4411
  • Fax:
Mailing address:
  • Phone: 865-666-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42506
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: