Individual
LORA COOPER-YOAKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920
(865) 305-7255
(865) 305-7115
Mailing address
PO BOX 440504, NASHVILLE, TN 37244-0504
(865) 670-6199
(865) 670-6198
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
18634
TN
363LF0000X
Family Nurse Practitioner
18634
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6034946
BCBS TN
TN
05
—
Q007707
—
TN
Enumeration date
04/04/2014
Last updated
05/06/2020
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