Individual
MS. SHERRY A. FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 544-9000
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN0133346
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4065946
BLUE CROSS
TN
05
—
78011921
—
KY
01
—
P00325037
RAILROAD MEDICARE
TN
Enumeration date
07/05/2006
Last updated
11/07/2007
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