Healthcare Provider Details

I. General information

NPI: 1023943669
Provider Name (Legal Business Name): ABBY BOWMAN GOLDSTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 ALCOA HWY STE 350
KNOXVILLE TN
37920-1550
US

IV. Provider business mailing address

1926 ALCOA HWY STE 350
KNOXVILLE TN
37920-1550
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8780
  • Fax:
Mailing address:
  • Phone: 865-305-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number42294
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: