MEDICARE: CHRISTINE ZACHMAN NP

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	363LP2300X	Primary Care Nurse Practitioner	26602	TN

General Provider Information

NPI Number	:	1679171839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ZACHMAN NP

Provider Business Mailing Address
First Line	:	2200 BIRD RD
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-7377
Country	:	US
Telephone Number	:	607-283-3358
Fax Number	:

Provider Business Practice Location Address
First Line	:	11416 GRIGSBY CHAPEL RD STE 102
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934-7804
Country	:	US
Telephone Number	:	865-392-1717
Fax Number	:

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

Provider Enumeration Date	:	10/10/2020
Last Update Date	:	10/10/2020

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