Healthcare Provider Details

I. General information

NPI: 1366410847
Provider Name (Legal Business Name): CHRISTIN R CARTER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 02/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 HIGHLAND AVE
KNOXVILLE TN
37916-1111
US

IV. Provider business mailing address

2121 HIGHLAND AVE
KNOXVILLE TN
37916-1111
US

V. Phone/Fax

Practice location:
  • Phone: 865-525-2640
  • Fax: 865-525-9536
Mailing address:
  • Phone: 865-525-2640
  • Fax: 865-525-9536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPN0000011593
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: