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NPI Code Detail

MEDICARE: WHITNEY NOVAK RN

MEDICARE: WHITNEY NOVAK RN
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
1163W00000XRegistered Nurse183559TN

General Provider Information

NPI Number : 1811658586
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY NOVAK RN
Provider Business Mailing Address
First Line : 5645 MERCHANTS CENTER BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-3470
Country : US
Telephone Number : 865-257-9982
Fax Number :
Provider Business Practice Location Address
First Line : 5645 MERCHANTS CENTER BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-3470
Country : US
Telephone Number : 865-257-9982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2022
Last Update Date : 01/05/2022

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