Individual provider · Type 1 NPI
Kelly Thomason
Pediatric Nurse Practitioner · Greeneville, TN
NPI number
1942750906
Active
Practice location
211 N Main St
Greeneville, TN 37745
Fax (423) 787-6054
Mailing address
PO Box 15004
Knoxville, TN 37901-5004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 21773 (TN) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Greeneville
About NPI 1942750906
Kelly Thomason's National Provider Identifier is 1942750906, issued on Oct 13, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Greeneville, TN. The record was last updated on Apr 8, 2022.