MEDICARE: ALISON FOISTER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	18651	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6077236	OTHER	TN	BCBS TN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215336722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON FOISTER FNP

Provider Business Mailing Address
First Line	:	159 FRANK L DIGGS DR
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6953
Country	:	US
Telephone Number	:	865-647-3300
Fax Number	:	865-647-3309

Provider Business Practice Location Address
First Line	:	159 FRANK L DIGGS DR
Second Line	:
City	:	CLINTON
State	:	TN
Zip	:	37716-6953
Country	:	US
Telephone Number	:	865-647-3300
Fax Number	:	865-647-3309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2014
Last Update Date	:	07/29/2020

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