Healthcare Provider Details

I. General information

NPI: 1699248898
Provider Name (Legal Business Name): LAUREN N ROGERS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2019
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 MIDDLE CREEK RD STE 200
SEVIERVILLE TN
37862-5056
US

IV. Provider business mailing address

501 19TH ST STE 401
KNOXVILLE TN
37916-1831
US

V. Phone/Fax

Practice location:
  • Phone: 865-908-9888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number24620
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24620
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: