Provider Demographics
NPI:1396012399
Name:POWERS, PATRICIA M (FNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:POWERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2557 HIGHWAY 41 S
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:TN
Mailing Address - Zip Code:37073-5516
Mailing Address - Country:US
Mailing Address - Phone:615-643-9015
Mailing Address - Fax:615-643-4537
Practice Address - Street 1:2557 HIGHWAY 41 S
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:TN
Practice Address - Zip Code:37073-5516
Practice Address - Country:US
Practice Address - Phone:615-643-9015
Practice Address - Fax:615-643-4537
Is Sole Proprietor?:No
Enumeration Date:2011-11-19
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN115265363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily