Provider Demographics
NPI:1275941908
Name:HAWXHURST, ALISON (APN)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:HAWXHURST
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 CENTERPOINT BLVD
Mailing Address - Street 2:BLDG A, STE 201
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1979
Mailing Address - Country:US
Mailing Address - Phone:865-374-5121
Mailing Address - Fax:865-374-9006
Practice Address - Street 1:103 BENNETT RD
Practice Address - Street 2:
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840-5008
Practice Address - Country:US
Practice Address - Phone:865-435-1933
Practice Address - Fax:865-435-9316
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18758363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner