Healthcare Provider Details
I. General information
NPI: 1437241668
Provider Name (Legal Business Name): MARY ALISON AKARD RNC MSN WHNP APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/28/2006
Last Update Date: 06/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 BEARDEN RD
KNOXVILLE TN
37919-4159
US
IV. Provider business mailing address
420 BEARDEN RD
KNOXVILLE TN
37919-4159
US
V. Phone/Fax
- Phone: 865-584-3565
- Fax: 865-584-2956
- Phone: 865-584-3565
- Fax: 865-584-2956
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | RN0000100141 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APN 12155 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: