Healthcare Provider Details

I. General information

NPI: 1285184580
Provider Name (Legal Business Name): HANNAH C ROYER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9125 CROSS PARK DR STE 200
KNOXVILLE TN
37923-4564
US

IV. Provider business mailing address

9125 CROSS PARK DR STE 200
KNOXVILLE TN
37923-4564
US

V. Phone/Fax

Practice location:
  • Phone: 865-632-5900
  • Fax: 865-637-2114
Mailing address:
  • Phone: 865-632-5900
  • Fax: 865-637-2114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number21861
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: