=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356465603
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LORA D SPURLOCK NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2007
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 229 HEDRICK DR
-----------------------------------------------------
City | NEWPORT
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37821-2902
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-623-1057
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1124 FOX MEADOWS BLVD STE 3
-----------------------------------------------------
City | SEVIERVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37862-6927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-446-0224
-----------------------------------------------------
Fax | 865-365-1777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | APN11536
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------