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Individual

KATHRYN JUNE NOTTINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
162D MARKET PLACE BLVD, KNOXVILLE, TN 37922-2337
(865) 212-6600
Mailing address
162D MARKET PLACE BLVD, KNOXVILLE, TN 37922-2337
(865) 212-6600

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18603
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q008724
TN
Enumeration date
04/18/2014
Last updated
10/20/2022
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