Individual
KATELYN GILLOOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6606 CLINTON HWY, KNOXVILLE, TN 37912-1016
(865) 429-4008
Mailing address
2009 EMORILAND BLVD, KNOXVILLE, TN 37917-2226
(614) 551-9319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25507
TENNESSEE STATE BOARD OF NURSING
TN
01
—
F01191323
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
03/07/2019
Last updated
03/07/2019
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