Provider Demographics
NPI:1235429614
Name:YUNSAN, PAROMITA (ANP)
Entity Type:Individual
Prefix:
First Name:PAROMITA
Middle Name:
Last Name:YUNSAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10714 BALD CYPRESS LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-6759
Mailing Address - Country:US
Mailing Address - Phone:865-414-8313
Mailing Address - Fax:
Practice Address - Street 1:221A FRANK L DIGGS DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-6959
Practice Address - Country:US
Practice Address - Phone:865-457-4747
Practice Address - Fax:865-467-4785
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN15801OtherANP LICENSE