Individual
KANDENNA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7211 WELLINGTON DR, SUITE 102, KNOXVILLE, TN 37919-5968
(865) 584-4747
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN6927
TN
363L00000X
Nurse Practitioner
ARNP9178981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520790
—
TN
05
—
305467500
—
FL
01
—
4266367
BCBS OF TN
TN
05
—
7100119550
—
KY
01
—
P00896718
RAILROAD MEDICARE
TN
Enumeration date
02/17/2006
Last updated
07/12/2013
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