Individual
GRACE MIKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9314 PARK WEST BLVD STE 102, KNOXVILLE, TN 37923-4303
(865) 407-2301
Mailing address
9314 PARK WEST BLVD STE 102, KNOXVILLE, TN 37923-4303
(865) 407-2301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
32252
TN
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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