Provider Demographics
NPI:1366757205
Name:LANKFORD, APRIL CAROLYN (FNP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:CAROLYN
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:CAROLYN
Other - Last Name:BROCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 OAK CLUSTER DR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-6079
Mailing Address - Country:US
Mailing Address - Phone:865-366-4070
Mailing Address - Fax:865-366-3720
Practice Address - Street 1:1105 OAK CLUSTER DR
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862
Practice Address - Country:US
Practice Address - Phone:865-366-4070
Practice Address - Fax:865-366-3720
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1528548Medicaid
TNQ010290Medicaid