Organization
ATHOME COMPASSIONATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKENDRA PORTER FNP-C (OWNER)
(865) 201-7035
Entity
Organization
Contact information
Practice address
7733 FARMWOOD LN, HARRISON, TN 37341-7626
(865) 201-7035
(865) 761-2726
Mailing address
7733 FARMWOOD LN, HARRISON, TN 37341-7626
(865) 201-7035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21590
TN APN LICENSE
TN
Enumeration date
07/20/2018
Last updated
10/17/2019
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