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NPI Code Detail

MEDICARE: VALERIE KIM TANNER N.P.

MEDICARE: VALERIE KIM TANNER N.P.
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
1207P00000XEmergency Medicine Physician078117MO
2363LF0000XFamily Nurse Practitioner53-80475-111KS
3363LF0000XFamily Nurse PractitionerARNP9276639FL
4363LF0000XFamily Nurse Practitioner5015005NC
5363LF0000XFamily Nurse Practitioner0000032826TN
6363LP2300XPrimary Care Nurse Practitioner078117MO
7363LF0000XFamily Nurse Practitioner32826TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417174947
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE KIM TANNER N.P.
Provider Business Mailing Address
First Line : 1275 DICK LONAS RD UNIT 101
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1383
Country : US
Telephone Number : 865-584-4747
Fax Number : 865-381-1509
Provider Business Practice Location Address
First Line : 1825 KNOXVILLE HWY
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4120
Country : US
Telephone Number : 423-346-3600
Fax Number : 833-908-2181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 04/28/2023

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1861238180 — MEAGAN ELIZABETH REDMON MSN, FNP-BC
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Directions to “ VALERIE KIM TANNER N.P.” Practice Location

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