Individual
KATHY R SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, FNP
Contact information
Practice address
103 WILTON SPRINGS ROAD, NEWPORT, TN 37821-6405
(423) 487-2222
(423) 623-7787
Mailing address
103 WILTON SPRINGS ROAD, NEWPORT, TN 37821-6405
(423) 487-2222
(423) 623-7787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN42649
TN
363L00000X
Nurse Practitioner
Primary
APN5348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011018
PHP TENNCARE
TN
01
—
3032446
BLUECARE-BOGARD
TN
01
—
3032447
BCBST
TN
05
—
3904936
—
TN
Enumeration date
01/26/2006
Last updated
03/23/2010
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