Individual
MR. JOE DAVID MOTTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1410 TUSCULUM BLVD, SUITE 2300, GREENEVILLE, TN 37745-4286
(423) 823-5190
(423) 823-5193
Mailing address
6701 BAUM DR, SUITE 140, KNOXVILLE, TN 37919-7360
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN00000100379
TN
363LF0000X
Family Nurse Practitioner
APN6999
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3903820
—
TN
05
—
3903821
—
TN
05
—
3903822
—
TN
05
—
3903827
—
TN
05
—
3903829
—
TN
01
—
S58833
UPIN
TN
Enumeration date
06/01/2006
Last updated
02/28/2012
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