Healthcare Provider Details

I. General information

NPI: 1295661908
Provider Name (Legal Business Name): KHUSHBU DHRUV PATEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3904 LONAS DR
KNOXVILLE TN
37909-3323
US

IV. Provider business mailing address

1518 AUCKLAND CT
NEWPORT NEWS VA
23608-7800
US

V. Phone/Fax

Practice location:
  • Phone: 865-251-1800
  • Fax:
Mailing address:
  • Phone: 423-458-9843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0001311131
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: