Organization
HEALTH PARTNERS OF TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY B BURROUGHS RN (ADMINISTRATOR)
(865) 202-6205
Entity
Organization
Contact information
Practice address
137 DE ARMOND RD, KINGSTON, TN 37763-6415
(865) 202-6205
(865) 717-6676
Mailing address
137 DE ARMOND RD, KINGSTON, TN 37763-6415
(865) 202-6205
(865) 717-6676
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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