Healthcare Provider Details

I. General information

NPI: 1295521128
Provider Name (Legal Business Name): CHRISTY MICHELLE P'SIMER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W PRICE RD
DANDRIDGE TN
37725-4524
US

IV. Provider business mailing address

150 W PRICE RD
DANDRIDGE TN
37725-4524
US

V. Phone/Fax

Practice location:
  • Phone: 865-475-6161
  • Fax: 865-475-9857
Mailing address:
  • Phone: 865-850-1829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number38642
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: