Doctor Name: | CLAUDIA C GAMMON |
NPI Number: | 1063523074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | APN0000012223 |
Business Practice Address: | 266 Joule St Alcoa, TN - 377012422 |
Business Phone Number: | 8659843864 |
Business Fax Number: | 8653802131 |
Mailing Address: | 701 Morganton Square Dr, MARYVILLE |
State: | TN |
Postal Code: | 378014796 |
Phone Number: | 8659843864 |
Fax Number: | 8653802131 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000012223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |