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Individual

APRIL MISA PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 OAK RIDGE TPKE STE C260, OAK RIDGE, TN 37830-6947
(423) 328-0163
(423) 491-8109
Mailing address
800 OAK RIDGE TPKE STE C260, OAK RIDGE, TN 37830-6947

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4948
TN
363A00000X
Physician Assistant
Primary
TN
363AM0700X
Medical Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
4948
TN
363AS0400X
Surgical Physician Assistant
TN

Other

Enumeration date
03/20/2022
Last updated
05/14/2026
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