Individual provider · Type 1 NPI

Tiffany T. Pendergrass, FNP

Nurse Practitioner · Lenoir City, TN

NPI number 1194418939 Active

Practice location

689 Medical Park Dr Ste 201
Lenoir City, TN 37772-5797

Fax (865) 988-6066

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X32294 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194418939

Tiffany T. Pendergrass, FNP's National Provider Identifier is 1194418939, issued on May 29, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lenoir City, TN. The record was last updated on May 29, 2023.