| Doctor Name: | SANDRA J KUFFREY |
| NPI Number: | 1801055751 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | APN13312 |
| Business Practice Address: | 800 New Lake Road Suite 100 Spring City, TN - 373815460 |
| Business Phone Number: | 4233659000 |
| Business Fax Number: | 4233659077 |
| Mailing Address: | 800 New Lake Road, Suite 100 SPRING CITY |
| State: | TN |
| Postal Code: | 373815460 |
| Phone Number: | 4233659000 |
| Fax Number: | 4233659077 |
| NPI Enumeration Date: | 06/05/2008 |
| NPI Last Update Date: | 11/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN13312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |