Individual
CAITLIN GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
6450 PROVISION CARES WAY, KNOXVILLE, TN 37909-2544
(865) 862-1600
Mailing address
6450 PROVISION CARES WAY, KNOXVILLE, TN 37909-2544
(865) 862-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26176
TN
363LP2300X
Primary Care Nurse Practitioner
0000026176
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q055524
—
TN
Enumeration date
07/29/2019
Last updated
11/08/2022
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