Individual provider · Type 1 NPI

Charles Jacob Cupp, FNP

Family Nurse Practitioner · Loudon, TN

NPI number 1811675960 Active

Practice location

202 Dohi Dr
Loudon, TN 37774-2851

Fax (833) 908-2125

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383

Other practice locations

  • 813 Vintage Alcoa Way, Alcoa, TN 37701-2046 · (865) 257-4542

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X34212 (TN)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

Other family nurse practitioner providers in Loudon

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About NPI 1811675960

Charles Jacob Cupp, FNP's National Provider Identifier is 1811675960, issued on Jul 10, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loudon, TN. The record was last updated on Apr 14, 2025.