Healthcare Provider Details

I. General information

NPI: 1467429449
Provider Name (Legal Business Name): DONNA G CRESS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 08/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 WESTLAND DR SUITE 101
KNOXVILLE TN
37922-5294
US

IV. Provider business mailing address

6701 BAUM DR SUITE 140
KNOXVILLE TN
37919-7360
US

V. Phone/Fax

Practice location:
  • Phone: 865-671-3888
  • Fax: 865-671-4911
Mailing address:
  • Phone: 865-584-5727
  • Fax: 865-450-9904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN77536
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: