Provider Demographics
NPI:1083039788
Name:BRIGGS, LAINEY SANTICH (FNP)
Entity Type:Individual
Prefix:
First Name:LAINEY
Middle Name:SANTICH
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAINEY
Other - Middle Name:D
Other - Last Name:SANTICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 E HILL AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37915-2565
Mailing Address - Country:US
Mailing Address - Phone:865-862-0998
Mailing Address - Fax:865-544-1861
Practice Address - Street 1:7650 DANNAHER DR STE 100
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-4066
Practice Address - Country:US
Practice Address - Phone:865-637-9330
Practice Address - Fax:865-512-6748
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP01327456OtherMEDICARE RR
TNQ006173Medicaid
TNQ006173Medicaid