Healthcare Provider Details

I. General information

NPI: 1649688417
Provider Name (Legal Business Name): L & L COMMUNITY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 E TRI COUNTY BLVD
OLIVER SPRINGS TN
37840-1838
US

IV. Provider business mailing address

933 E TRI COUNTY BLVD
OLIVER SPRINGS TN
37840-1838
US

V. Phone/Fax

Practice location:
  • Phone: 865-314-0092
  • Fax:
Mailing address:
  • Phone: 865-314-0092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. TROYAL CRAIG
Title or Position: OWNER/NP
Credential: FNP-C
Phone: 865-314-0092