Healthcare Provider Details

I. General information

NPI: 1245015718
Provider Name (Legal Business Name): HEATHER SILCOX PORTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6348 LONAS SPRING DR
KNOXVILLE TN
37909-2719
US

IV. Provider business mailing address

6348 LONAS SPRING DR
KNOXVILLE TN
37909-2719
US

V. Phone/Fax

Practice location:
  • Phone: 865-337-5137
  • Fax: 888-839-6922
Mailing address:
  • Phone: 865-337-5137
  • Fax: 888-839-6922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number34746
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: