Individual provider · Type 1 NPI

Makenna Black

Pediatric Nurse Practitioner · Knoxville, TN

NPI number 1215790274 Active

Practice location

1930 Alcoa Hwy Ste 145
Knoxville, TN 37920-1546

Mailing address

7216 Hallbrook Rd
Knoxville, TN 37918-9419

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X35631 (TN)

Pediatric Nurse Practitioner: Definition to come...

20 other providers at this address

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About NPI 1215790274

Makenna Black's National Provider Identifier is 1215790274, issued on Feb 2, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Knoxville, TN. The record was last updated on Feb 2, 2024.