Doctor Name: | KATHRYN PIERCE |
NPI Number: | 1063715779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 15418 |
Business Practice Address: | 576 Fort Loudoun Medical Center Dr Suite 203 Lenoir City, TN - 377725676 |
Business Phone Number: | 8652716095 |
Business Fax Number: | 8652716096 |
Mailing Address: | 1915 White Ave, Knoxville KNOXVILLE |
State: | TN |
Postal Code: | 379162300 |
Phone Number: | 8655411720 |
Fax Number: | 8655414994 |
NPI Enumeration Date: | 12/20/2010 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 15418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |