Healthcare Provider Details

I. General information

NPI: 1285599498
Provider Name (Legal Business Name): TIMOTHY JOSHUA CLAIBORNE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY
KNOXVILLE TN
37920-1511
US

IV. Provider business mailing address

2017 OLD MIDDLESBORO HWY
LA FOLLETTE TN
37766-5178
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-8000
  • Fax:
Mailing address:
  • Phone: 423-650-7038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License Number170333
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: