# CLINIC FOR PRODUCTIVE LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598017576
- **Authorized official:** EDWARD C ROLAND (OWNER)
- **Authorized official phone:** (865) 394-9337

## Contact information

- **Practice address:** 9217 PARK WEST BLVD, SUITE E1, KNOXVILLE, TN 37923-4404
- **Practice address phone:** (865) 394-9337
- **Practice address fax:** (865) 394-9336
- **Mailing address:** 9217 PARK WEST BLVD, SUITE E1, KNOXVILLE, TN 37923-4404
- **Mailing address phone:** (865) 394-9337
- **Mailing address fax:** (865) 394-9336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | APN11916 | TN | Yes |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012