Healthcare Provider Details

I. General information

NPI: 1851506976
Provider Name (Legal Business Name): CHRISTINE RANEY LESTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6223 HIGHLAND PLACE WAY STE 101
KNOXVILLE TN
37919-4035
US

IV. Provider business mailing address

1032 E BRANDON BLVD STE 4567
BRANDON FL
33511-5509
US

V. Phone/Fax

Practice location:
  • Phone: 865-801-3678
  • Fax: 866-570-5110
Mailing address:
  • Phone: 201-474-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number11720
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number2005002820-21
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: