Provider Demographics
NPI:1598832461
Name:COKER, CHRISTIE (CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:COKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 GRAVES RD
Mailing Address - Street 2:
Mailing Address - City:STRAW PLAINS
Mailing Address - State:TN
Mailing Address - Zip Code:37871
Mailing Address - Country:US
Mailing Address - Phone:865-712-4407
Mailing Address - Fax:
Practice Address - Street 1:1015 GRAVES RD
Practice Address - Street 2:
Practice Address - City:STRAW PLAINS
Practice Address - State:TN
Practice Address - Zip Code:37871-1035
Practice Address - Country:US
Practice Address - Phone:865-712-4407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN75332367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered