Doctor Name: | CHELSEA K. MERCER |
NPI Number: | 1093171001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 20990 |
Business Practice Address: | 1404 Tusculum Blvd Suite 3000 Greeneville, TN - 377454395 |
Business Phone Number: | 4237837965 |
Business Fax Number: | 4237837970 |
Mailing Address: | 1225 E Weisgarber Rd, Suite 200 KNOXVILLE |
State: | TN |
Postal Code: | 379092604 |
Phone Number: | 8655844747 |
Fax Number: | 8655841363 |
NPI Enumeration Date: | 01/06/2016 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 20990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |