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Individual

MRS. CARLA ELAINE SPURGEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1300 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1291
(865) 584-2146
Mailing address
1300 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1291
(865) 584-2146

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
146340
TN
363LF0000X
Family Nurse Practitioner
Primary
APN15302
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1035I07706
MEDICARE PTAN
TN
05
1521709
TN
01
P01923702
RRMEDICARE PTAN
TN
Enumeration date
11/01/2010
Last updated
06/23/2020
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