Provider Demographics
NPI:1285042861
Name:MCGREGOR, ROBERT K JR (FNP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:K
Last Name:MCGREGOR
Suffix:JR
Gender:M
Credentials:FNP
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Other - Middle Name:
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Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:2240 SUTHERLAND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2333
Practice Address - Country:US
Practice Address - Phone:865-909-0090
Practice Address - Fax:865-909-9883
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-08-04
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Provider Licenses
StateLicense IDTaxonomies
TN18757363LF0000X
TN161202163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse