Individual
MRS. STEPHANIE RENEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1924 ALCOA HWY, 6-SOUTH, KNOXVILLE, TN 37920-1511
(865) 305-8888
(865) 305-6180
Mailing address
1831 KELTON LN, MARYVILLE, TN 37803-6250
(865) 556-9830
(865) 305-6180
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN0000007230
TN
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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