Individual
MRS. CHERYL LYNN RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
1580 MINT MEADOWS DRIVE, MARYVILLE, TN 37803-2542
(865) 384-5166
(865) 380-4095
Mailing address
1580 MINT MEADOWS DRIVE, MARYVILLE, TN 37803-2542
(865) 384-5166
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
16462
TN
363LF0000X
Family Nurse Practitioner
Primary
APN-16462
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000287
—
TN
Enumeration date
05/15/2012
Last updated
07/08/2020
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