Individual
JAMES TYLER IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 595-4111
Mailing address
4286 NORRIS FWY, HEISKELL, TN 37754-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
194453
TN
363LF0000X
Family Nurse Practitioner
Primary
26824
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053715
—
TN
Enumeration date
11/09/2019
Last updated
05/08/2023
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