Healthcare Provider Details

I. General information

NPI: 1659342087
Provider Name (Legal Business Name): IRINA KOPT-ABRAMS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 BALL CAMP PIKE
KNOXVILLE TN
37921
US

IV. Provider business mailing address

225 KIRKWALL LANE
KNOXVILLE TN
37909
US

V. Phone/Fax

Practice location:
  • Phone: 865-544-1550
  • Fax: 865-544-1570
Mailing address:
  • Phone: 865-544-1550
  • Fax: 865-544-1570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN0000007438
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20829
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: