Organization · Type 2 NPI

Fountain of Youth Medical LLC

Nurse Practitioner · Knoxville, TN

NPI number 1396216339 Active

Practice location

135 Lovell Rd
Knoxville, TN 37934-1904

Call (865) 392-1400 Map

Fax (865) 392-1402

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1396216339

Fountain of Youth Medical LLC's National Provider Identifier is 1396216339, issued on Dec 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Knoxville, TN. The record was last updated on Mar 6, 2019.