Individual
ALLISON M FAWVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7211 WELLINGTON DR STE 201, KNOXVILLE, TN 37919-5968
(865) 584-5762
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
187470
TN
363L00000X
Nurse Practitioner
Primary
21504
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3376145
—
TN
05
—
Q024205
—
TN
Enumeration date
08/02/2016
Last updated
07/30/2020
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