Healthcare Provider Details

I. General information

NPI: 1538407937
Provider Name (Legal Business Name): LINDA SIMMONS DONOHOE NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2013
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 WHITE AVE
KNOXVILLE TN
37916-2300
US

IV. Provider business mailing address

1915 WHITE AVE
KNOXVILLE TN
37916-2300
US

V. Phone/Fax

Practice location:
  • Phone: 865-541-1720
  • Fax: 865-541-1747
Mailing address:
  • Phone: 865-541-1720
  • Fax: 865-541-1747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number5006022
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number17943
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: