Provider Demographics
NPI:1225493091
Name:CROSS, KATHERINE A (FNP-C)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:CROSS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 OAK RIDGE TPKE STE C200
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6982
Mailing Address - Country:US
Mailing Address - Phone:865-483-3594
Mailing Address - Fax:865-483-4910
Practice Address - Street 1:800 OAK RIDGE TURNPIKE C-200
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:865-483-3594
Practice Address - Fax:865-483-4910
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20803363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care