Individual
MRS. KATIE INGRAM WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
220 LANGLAND ST, KNOXVILLE, TN 37915-1415
(865) 594-5078
(865) 594-3921
Mailing address
220 LANGLAND ST, KNOXVILLE, TN 37915-1415
(865) 594-5078
(865) 594-3921
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000016710
TN
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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