Individual
JOANNA GRACE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9430 PARK WEST BLVD STE 130, KNOXVILLE, TN 37923-4205
(865) 690-4861
(865) 560-8525
Mailing address
PO BOX 32569, KNOXVILLE, TN 37930-2569
(865) 694-7725
(865) 560-8525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17646
TN
363LA2200X
Adult Health Nurse Practitioner
17646
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532907
—
TN
Enumeration date
05/16/2013
Last updated
11/05/2019
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