Individual
LINDALEE F THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5302 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 541-6958
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
138099
TN
363LG0600X
Gerontology Nurse Practitioner
13764
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3342418
MEDICARE PTAN NUMBER
TN
Enumeration date
11/14/2008
Last updated
05/09/2023
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