Healthcare Provider Details

I. General information

NPI: 1508027723
Provider Name (Legal Business Name): NP CLINICS OF TENNESSEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 GROVE ST SUITE 204
LOUDON TN
37774-1481
US

IV. Provider business mailing address

702 GROVE ST SUITE 204
LOUDON TN
37774-1481
US

V. Phone/Fax

Practice location:
  • Phone: 865-809-4326
  • Fax:
Mailing address:
  • Phone: 865-809-4326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberAPN12184
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberAPN12184
License Number StateTN

VIII. Authorized Official

Name: LORETTA R TURBEVILLE
Title or Position: OWNER
Credential: APN, NP-C
Phone: 865-809-4326