Individual
MRS. KATILYN BROOKE SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
380 W BROADWAY BLVD, JEFFERSON CITY, TN 37760-2602
(865) 475-4742
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(833) 908-0998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000222038
TN
363LA2100X
Acute Care Nurse Practitioner
29722
TN
363LF0000X
Family Nurse Practitioner
Primary
29722
TN
Other
Enumeration date
07/13/2020
Last updated
10/12/2022
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