Individual
JANET B HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, MPH, ANP
Contact information
Practice address
1408 NEWCROSS RD, KNOXVILLE, TN 37922-6052
(865) 691-4794
Mailing address
PO BOX 5777, SUITE 230, MARYVILLE, TN 37802-5777
(865) 246-2104
(865) 246-2106
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN00001331411
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000008246
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3929328
—
TN
01
—
P00095279
RAILROAD MEDICARE
TN
Enumeration date
01/13/2006
Last updated
08/08/2016
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