Individual
SALLY JO MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
410 N CEDAR BLUFF RD, STE 300, KNOXVILLE, TN 37923-3632
(865) 342-8900
(865) 691-0843
Mailing address
410 N CEDAR BLUFF RD, STE 300, KNOXVILLE, TN 37923-3632
(865) 342-8900
(865) 691-0843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
17996
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3014230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014230
STATE LICENSE
KY
Enumeration date
09/04/2013
Last updated
01/28/2020
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