Individual
CHARLENE MARGARET FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN FNP
Contact information
Practice address
215 HEDRICK DR, NEWPORT, TN 37821-2902
(423) 623-5301
(423) 625-0808
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
APN12030
TN
363LF0000X
Family Nurse Practitioner
1115462
FL
363LF0000X
Family Nurse Practitioner
Primary
APN12030
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3644759
—
TN
Enumeration date
10/17/2005
Last updated
02/09/2011
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