Provider Demographics
NPI:1619119740
Name:KNOXVILLE APNS LLC
Entity Type:Organization
Organization Name:KNOXVILLE APNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RULE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:865-980-1967
Mailing Address - Street 1:108 JESS CIR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-0692
Mailing Address - Country:US
Mailing Address - Phone:865-980-1967
Mailing Address - Fax:865-977-4162
Practice Address - Street 1:108 JESS CIR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-0692
Practice Address - Country:US
Practice Address - Phone:865-980-1967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000134181363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty