Healthcare Provider Details

I. General information

NPI: 1215445531
Provider Name (Legal Business Name): LORETTA SUE PARTON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2636 W ANDREW JOHNSON HWY
MORRISTOWN TN
37814-3214
US

IV. Provider business mailing address

2636 W ANDREW JOHNSON HWY
MORRISTOWN TN
37814-3214
US

V. Phone/Fax

Practice location:
  • Phone: 423-200-3225
  • Fax: 423-200-3226
Mailing address:
  • Phone: 423-200-3225
  • Fax: 423-200-3226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN23656
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3-002122
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: