Healthcare Provider Details

I. General information

NPI: 1144823121
Provider Name (Legal Business Name): HANNAH MEREDITH GUMP NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 CAVETTE HILL LN
KNOXVILLE TN
37934-6674
US

IV. Provider business mailing address

2717 E OAKLAND AVE
JOHNSON CITY TN
37601-1843
US

V. Phone/Fax

Practice location:
  • Phone: 865-777-4000
  • Fax:
Mailing address:
  • Phone: 423-926-2358
  • Fax: 423-926-2680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28652
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: