Healthcare Provider Details

I. General information

NPI: 1548500184
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF MIDDLE AND EAST TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N CHERRY ST
KNOXVILLE TN
37914-5254
US

IV. Provider business mailing address

710 N CHERRY ST
KNOXVILLE TN
37914-5254
US

V. Phone/Fax

Practice location:
  • Phone: 865-694-7154
  • Fax:
Mailing address:
  • Phone: 865-694-7154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number17379
License Number StateTN

VIII. Authorized Official

Name: AMANDA REAMES
Title or Position: NURSE PRACTITIONER
Credential: APN
Phone: 804-239-6567