Healthcare Provider Details

I. General information

NPI: 1790010643
Provider Name (Legal Business Name): PAMELA F WRIGHT MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA F WRIGHT MSN, RN

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 MIDDLE CREEK RD STE 108
SEVIERVILLE TN
37862-5015
US

IV. Provider business mailing address

744 MIDDLE CREEK RD STE 108
SEVIERVILLE TN
37862-5015
US

V. Phone/Fax

Practice location:
  • Phone: 865-446-9725
  • Fax: 865-446-9726
Mailing address:
  • Phone: 865-446-9725
  • Fax: 865-446-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN106818
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14377
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: