Individual
HEATHER T. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, GCNS-BC
Contact information
Practice address
5112 MALIBU DRIVE, KNOXVILLE, TN 37918
(865) 804-5306
(865) 689-1981
Mailing address
PO BOX 5649, KNOXVILLE, TN 37928
(865) 804-5306
(865) 689-1981
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN7432
TN
363L00000X
Nurse Practitioner
RN0000110919
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3347074
—
TN
01
—
4042440
BLUE CROSS
TN
01
—
TN0106
JOHN DEERE
TN
Enumeration date
06/06/2006
Last updated
11/23/2009
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