Individual
MISS LAURI MICHELLE GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2100 W CLINCH AVE, KNOXVILLE, TN 37916-2219
(865) 637-7920
Mailing address
405 HIALEAH DR, KNOXVILLE, TN 37920-5007
(574) 536-6312
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
25413
TN
Other
Enumeration date
11/11/2018
Last updated
01/30/2019
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