Individual
BARBARA WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
Mailing address
501 20TH ST, SUITE 606, KNOXVILLE, TN 37916-1809
(865) 546-8040
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6138
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100048745
PHP TENNCARE
TN
05
—
3640735
—
TN
01
—
P00231154
TRAVELERS MEDICARE
TN
Enumeration date
10/11/2006
Last updated
05/14/2009
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