Doctor Name: | MARY LOU CAMERON |
NPI Number: | 1922323559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN144877 |
Business Practice Address: | 1596 Highway 33 S New Tazewell, TN - 378257104 |
Business Phone Number: | 4236268271 |
Business Fax Number: | 4236260688 |
Mailing Address: | Dept 888182, KNOXVILLE |
State: | TN |
Postal Code: | 379958182 |
Phone Number: | 8003553565 |
Fax Number: | 4237142355 |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 04/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN144877 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |