Healthcare Provider Details

I. General information

NPI: 1992740070
Provider Name (Legal Business Name): DONNA K LEPHEW NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 E WEISGARBER RD STE 201
KNOXVILLE TN
37909-2685
US

IV. Provider business mailing address

1225 E WEISGARBER RD SUITE 200
KNOXVILLE TN
37909-2604
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-8831
  • Fax:
Mailing address:
  • Phone: 865-584-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN5962
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: