Individual
LATICIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 BAILEY PARK LN, KNOXVILLE, TN 37922-5584
(865) 804-4048
Mailing address
1500 BAILEY PARK LN, KNOXVILLE, TN 37922-5584
(865) 804-4048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
180557
TN
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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