Healthcare Provider Details

I. General information

NPI: 1063749992
Provider Name (Legal Business Name): LINDSAY G FRAZIER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2009
Last Update Date: 11/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10215 KINGSTON PIKE STE 200
KNOXVILLE TN
37922-3492
US

IV. Provider business mailing address

6913 PEMMBROOKE SHIRE LN
KNOXVILLE TN
37909-1296
US

V. Phone/Fax

Practice location:
  • Phone: 865-584-8580
  • Fax: 865-251-9961
Mailing address:
  • Phone: 865-851-9560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberAPN0000014200
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: