Healthcare Provider Details

I. General information

NPI: 1104367283
Provider Name (Legal Business Name): KATHLEEN ELIZABETH FITE MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 E WEISGARBER RD STE 190
KNOXVILLE TN
37909-2696
US

IV. Provider business mailing address

1225 E WEISGARBER RD STE 190
KNOXVILLE TN
37909-2696
US

V. Phone/Fax

Practice location:
  • Phone: 423-259-5002
  • Fax:
Mailing address:
  • Phone: 423-259-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000022418
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: