Healthcare Provider Details

I. General information

NPI: 1316366362
Provider Name (Legal Business Name): MONICA C SWEENEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 01/18/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 VOLUNTEER BLVD
KNOXVILLE TN
37996-4522
US

IV. Provider business mailing address

1800 VOLUNTEER BLVD
KNOXVILLE TN
37996-4522
US

V. Phone/Fax

Practice location:
  • Phone: 865-974-5080
  • Fax: 865-974-2000
Mailing address:
  • Phone: 865-974-5080
  • Fax: 865-974-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number29554
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: