Healthcare Provider Details

I. General information

NPI: 1437552577
Provider Name (Legal Business Name): KRYSTLE BROOKE FOSHIE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRYSTLE BROOKE SILVA FNP-BC

II. Dates (important events)

Enumeration Date: 10/03/2014
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

988 OAK RIDGE TPKE STE 200
OAK RIDGE TN
37830-6919
US

IV. Provider business mailing address

988 OAK RIDGE TPKE STE 200
OAK RIDGE TN
37830-6919
US

V. Phone/Fax

Practice location:
  • Phone: 865-483-4366
  • Fax: 865-374-2090
Mailing address:
  • Phone: 865-483-4366
  • Fax: 865-374-2090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18934
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: