=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962727255
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MAGGIE N. QUINN APN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2010
-----------------------------------------------------
Last Update Date | 01/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2607 KINGSTON PIKE STE 250
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37919-3331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-264-2400
-----------------------------------------------------
Fax | 865-588-6406
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2607 KINGSTON PIKE STE 250
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37919-3331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-264-2400
-----------------------------------------------------
Fax | 865-588-6406
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | 14861
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 14861
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------