Individual
MOLLY JOANN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 CLINCH AVENUE SUITE 510, KNOXVILLE, TN 37916
(865) 824-4939
(865) 544-9966
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1492
TN
363AS0400X
Surgical Physician Assistant
Primary
1492
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517056
—
TN
Enumeration date
04/26/2007
Last updated
04/11/2024
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