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General NPI Number Information
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NPI Number | 1881077568
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Entity Type | Individual
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Provider Name | PATRICIA MCKINNEY FNP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2166 E BROADWAY AVE
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City | MARYVILLE
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State | TN
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Zip | 37804-3035
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Country | US
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Telephone | 865-273-9024
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Fax | 865-273-9025
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Provider Business Mailing Address
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Address Line | 1225 E WEISGARBER RD SUITE 200
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City | KNOXVILLE
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State | TN
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Zip | 37909-2604
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Country | US
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Telephone | 865-584-4747
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Fax | 865-584-1363
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | N18221
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 165532
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70066919
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704435718
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20062
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0040755
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License Number State | OH
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