Healthcare Provider Details

I. General information

NPI: 1285211334
Provider Name (Legal Business Name): YVONNE ELIZABETH BIGGS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 WHITE WATER DR
OCOEE TN
37361-3645
US

IV. Provider business mailing address

119 WHITE WATER DR
OCOEE TN
37361-3645
US

V. Phone/Fax

Practice location:
  • Phone: 423-299-9435
  • Fax: 423-299-9436
Mailing address:
  • Phone: 423-299-9435
  • Fax: 423-299-9436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000029341
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5014251
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: