Individual
PAULA RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
438 E VANN RD STE 201, GREENEVILLE, TN 37743-7202
(423) 278-1800
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN18012
TN
363LF0000X
Family Nurse Practitioner
APN18012
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q006367
—
TN
Enumeration date
12/09/2013
Last updated
07/30/2024
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