ICP TENNESSEE LLC NPI 1205247699

NPI Information

  • NPI: 1205247699
  • Provider Name: ICP TENNESSEE, LLC
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Organization
  • Address: 200 PROSPERITY PLACE
    KNOXVILLE, TN
    ZIP 37923
  • Phone: (855) 498-6767

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NPI Details

ICP TENNESSEE, LLC is a clinical nurse specialist in Knoxville, TN. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. ICP TENNESSEE, LLC NPI is 1205247699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 PROSPERITY PLACE
KNOXVILLE, TN
ZIP 37923
Phone: (855) 498-6767
Fax: (479) 968-1673

The provider's authorized official is Rodney Thomason .
The authorized official title is Authorized Official and has the following contact phone number (855) 498-6767.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 5/12/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364S00000XClinical Nurse SpecialistTENNESSEEYes

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: 11/21/2025

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