Individual
HEATHER LYNNE JOACHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9325 S NORTHSHORE DR, KNOXVILLE, TN 37922-6548
(865) 330-7425
Mailing address
6108 KINGSTON PIKE, KNOXVILLE, TN 37919-4019
(865) 635-9464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
F05180723
CA
363L00000X
Nurse Practitioner
Primary
NP95009238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26731
STATE OF TENNESSEE
TN
01
—
812324
NEVADA BOARD OF NURSING
NV
01
—
NP95009238
CA LICENSE
CA
Enumeration date
05/31/2018
Last updated
01/25/2021
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