Individual
SHERRY WAGNER MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Mailing address
1025 FREEMASON ST, KNOXVILLE, TN 37917-3017
(865) 687-5764
(865) 215-5340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000027380
TN
Other
Enumeration date
05/04/2007
Last updated
03/04/2020
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