Individual
LISA BELLAMY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
7551 DANNAHER WAY, POWELL, TN 37849-4029
(865) 637-9330
(865) 512-6748
Mailing address
PO BOX 10988, KNOXVILLE, TN 37939-0988
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN12348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505388
—
TN
01
—
4257861
BLUE CROSS BLUE SHIELD
TN
01
—
P00803302
MEDICARE RR
—
Enumeration date
02/22/2007
Last updated
07/14/2016
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