| Doctor Name: | MR. JOE DAVID MOTTERN |
| NPI Number: | 1043257843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | APN6999 |
| Business Practice Address: | 1410 Tusculum Blvd Suite 2300 Greeneville, TN - 377454286 |
| Business Phone Number: | 4238235190 |
| Business Fax Number: | 4238235193 |
| Mailing Address: | 6701 Baum Dr, Suite 140 KNOXVILLE |
| State: | TN |
| Postal Code: | 379197360 |
| Phone Number: | 8655845727 |
| Fax Number: | 8654509904 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 02/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN6999 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |