Provider Demographics
NPI:1235848573
Name:HELTON, SAMANTHA MECHELLE (APRN, FNP-BC, NP-C)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MECHELLE
Last Name:HELTON
Suffix:
Gender:F
Credentials:APRN, FNP-BC, NP-C
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:MECHELLE
Other - Last Name:HELTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, FNP-BC, NP-C
Mailing Address - Street 1:1140 CAROLLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3039
Mailing Address - Country:US
Mailing Address - Phone:865-585-1915
Mailing Address - Fax:
Practice Address - Street 1:6606 CLINTON HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-1016
Practice Address - Country:US
Practice Address - Phone:865-428-2773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32945363LF0000X
FL11022891363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily