Provider Demographics
NPI:1063715779
Name:PIERCE, KATHRYN (APN)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:APN
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1915 WHITE AVE
Mailing Address - Street 2:KNOXVILLE
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2300
Mailing Address - Country:US
Mailing Address - Phone:865-541-1720
Mailing Address - Fax:865-541-4994
Practice Address - Street 1:576 FORT LOUDOUN MEDICAL CENTER DR
Practice Address - Street 2:SUITE 203
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5676
Practice Address - Country:US
Practice Address - Phone:865-271-6095
Practice Address - Fax:865-271-6096
Is Sole Proprietor?:No
Enumeration Date:2010-12-20
Last Update Date:2011-01-18
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Provider Licenses
StateLicense IDTaxonomies
TN15418363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health