Healthcare Provider Details

I. General information

NPI: 1669117610
Provider Name (Legal Business Name): KATHERINE FRANCES SANDERSON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N UNIVERSITY ST
MURFREESBORO TN
37130-3931
US

IV. Provider business mailing address

2717 E OAKLAND AVE
JOHNSON CITY TN
37601-1843
US

V. Phone/Fax

Practice location:
  • Phone: 615-893-2602
  • Fax:
Mailing address:
  • Phone: 615-812-5635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30402
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: