Individual
GRADY MCMILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 SAINT MARY ST, KNOXVILLE, TN 37917-4503
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154330
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
38010
TN
Other
Enumeration date
01/15/2024
Last updated
04/29/2025
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