Healthcare Provider Details

I. General information

NPI: 1427559129
Provider Name (Legal Business Name): ELIZABETH W SOWELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 PARK WEST BLVD STE 402
KNOXVILLE TN
37923-4312
US

IV. Provider business mailing address

9330 PARK WEST BLVD STE 402
KNOXVILLE TN
37923-4312
US

V. Phone/Fax

Practice location:
  • Phone: 865-690-3003
  • Fax: 865-690-6404
Mailing address:
  • Phone: 865-374-5806
  • Fax: 865-374-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23871
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: