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Individual

SAMANTHA R PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, RN

Contact information

Practice address
11808 KINGSTON PIKE, SUITE 100, KNOXVILLE, TN 37934-3838
(423) 899-0500
(423) 899-2411
Mailing address
PO BOX 21867, CHATTANOOGA, TN 37424-0867
(423) 899-0500
(423) 899-2411

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000039380
TN
163WR1000X
Reproductive Endocrinology/Infertility Registered Nurse
Primary
TN
363L00000X
Nurse Practitioner
APN0000005270
TN

Other

Enumeration date
12/20/2006
Last updated
09/11/2025
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