Provider Demographics
NPI:1508484775
Name:RATCLIFF, KATHERINE ELIZABETH (APRN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:RATCLIFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1110 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5028
Mailing Address - Country:US
Mailing Address - Phone:865-429-8800
Mailing Address - Fax:865-429-4310
Practice Address - Street 1:1110 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5028
Practice Address - Country:US
Practice Address - Phone:865-429-8800
Practice Address - Fax:865-429-4310
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000230588163W00000X
TN30023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse