Individual
MRS. KAITLYNN EARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
401 HOLSTON DR, GREENEVILLE, TN 37743-3127
(423) 639-1104
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26158
TN
Other
Enumeration date
01/02/2019
Last updated
06/03/2020
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