Provider Demographics
NPI:1174184295
Name:ATKINS, ANGEL DAWN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:DAWN
Last Name:ATKINS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3072 ROY MESSER HWY
Mailing Address - Street 2:
Mailing Address - City:WHITE PINE
Mailing Address - State:TN
Mailing Address - Zip Code:37890-3510
Mailing Address - Country:US
Mailing Address - Phone:423-297-4897
Mailing Address - Fax:865-761-0450
Practice Address - Street 1:3203 OAK ST
Practice Address - Street 2:
Practice Address - City:WHITE PINE
Practice Address - State:TN
Practice Address - Zip Code:37890
Practice Address - Country:US
Practice Address - Phone:865-761-0450
Practice Address - Fax:865-761-0450
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26140363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner