Provider Demographics
NPI:1710231964
Name:GREENWOOD, CAITLIN HUNT (NP)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:HUNT
Last Name:GREENWOOD
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 1:1316 TOBLER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-8104
Mailing Address - Country:US
Mailing Address - Phone:615-934-9944
Mailing Address - Fax:
Practice Address - Street 1:1111 N NORTHSHORE DR STE S490
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2808
Practice Address - Country:US
Practice Address - Phone:865-584-0171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17172363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health