Provider Demographics
NPI:1629110721
Name:GREER, STEPHANIE L (NP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:GREER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 STRAWBERRY PLAINS PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-9589
Mailing Address - Country:US
Mailing Address - Phone:865-329-9492
Mailing Address - Fax:865-544-5949
Practice Address - Street 1:7200 STRAWBERRY PLAINS PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37914-9589
Practice Address - Country:US
Practice Address - Phone:865-329-9492
Practice Address - Fax:865-544-5949
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN117617363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP04101Medicare UPIN
TN3905634Medicare ID - Type Unspecified