Provider Demographics
NPI:1609049063
Name:CHERMELY, CAROLINE SCOTT (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:SCOTT
Last Name:CHERMELY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:CAROLINE
Other - Middle Name:TAYLOR
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1932 ALCOA HWY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920
Mailing Address - Country:US
Mailing Address - Phone:865-329-4003
Mailing Address - Fax:865-329-4043
Practice Address - Street 1:1932 ALCOA HWY
Practice Address - Street 2:SUITE 280
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-329-4003
Practice Address - Fax:865-329-4043
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000013227363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
3341781Medicare PIN