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General NPI Number Information
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NPI Number | 1255236287
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Entity Type | Organization
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Legal Business Name | CREEKWORTH PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 11909 KINGSTON PIKE STE 201
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City | KNOXVILLE
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State | TN
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Zip | 37934-4878
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Country | US
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Telephone | 865-874-3417
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Fax |
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Provider Business Mailing Address
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Address Line | 116 AGNES RD STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37919-6306
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Country | US
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Telephone | 865-874-3417
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | AMANDA ALBERTSEN
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Credential | APRN, PMHNP-BC
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Telephone | 865-874-3417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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