Individual
MISS CHARLOTTE JEANNINE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8874 KINGSTON PIKE, KNOXVILLE, TN 37923-5010
(865) 690-4200
Mailing address
8874 KINGSTON PIKE, KNOXVILLE, TN 37923-5010
(865) 690-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16441
TN
Other
Enumeration date
02/01/2012
Last updated
07/03/2012
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