Provider Demographics
NPI:1639468937
Name:BORING, MEGAN KELLER (RN MSN APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:KELLER
Last Name:BORING
Suffix:
Gender:F
Credentials:RN MSN APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 AIRPORT PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:ALCOA
Mailing Address - State:TN
Mailing Address - Zip Code:37701-3182
Mailing Address - Country:US
Mailing Address - Phone:865-684-4810
Mailing Address - Fax:
Practice Address - Street 1:186 AIRPORT PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-3182
Practice Address - Country:US
Practice Address - Phone:865-684-4810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12499364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health