Healthcare Provider Details

I. General information

NPI: 1346638095
Provider Name (Legal Business Name): PATRICIA PANNELL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 KINGSTON PIKE STE 6
KNOXVILLE TN
37919
US

IV. Provider business mailing address

333 COMMERCE ST STE 700
NASHVILLE TN
37201-1835
US

V. Phone/Fax

Practice location:
  • Phone: 865-978-6182
  • Fax: 855-737-5542
Mailing address:
  • Phone: 865-978-6182
  • Fax: 855-737-5542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000019495
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: