Individual
SUSAN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1720
(865) 541-4994
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 541-1720
(865) 541-4994
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5124
TN
Other
Enumeration date
04/27/2006
Last updated
07/01/2010
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