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SKYWAY FAMILY CARE NPI 1417603457


NPI Information

NPI: 1417603457
Provider Name: SKYWAY FAMILY CARE

Doing Business As: SOUTH KNOX FAMILY CARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2252453

Address:
4206 CHAPMAN HWY
KNOXVILLE, TN
ZIP 37920
Phone: (865) 999-8301
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SKYWAY FAMILY CARE is a family nurse practitioner in Knoxville, TN. SKYWAY FAMILY CARE NPI is 1417603457. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Knox Family Care.

The provider's business location address is:

4206 CHAPMAN HWY
KNOXVILLE, TN
ZIP 37920-251
Phone: (865) 999-8301
Fax: (865) 999-8314

The provider's authorized official is Rose Cunningham .
The authorized official title is Owner/nursepractitioner and has the following contact phone number (865) 999-8301.

The CLIA number assigned to this NPI record is 44D2252453 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2022 and was last updated on 2/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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