Provider Demographics
NPI:1710989215
Name:MACMORRAN, PAULA R (PHD, APRN, BC)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:R
Last Name:MACMORRAN
Suffix:
Gender:F
Credentials:PHD, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N WEISGARBER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4013
Mailing Address - Country:US
Mailing Address - Phone:865-584-8501
Mailing Address - Fax:865-588-1219
Practice Address - Street 1:201 N WEISGARBER RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4013
Practice Address - Country:US
Practice Address - Phone:865-584-8501
Practice Address - Fax:865-588-1219
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP-1271103TC1900X
TNAPRN-5128364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN091926000OtherMAGELLAN
TN3680179Medicaid
0005350354OtherAETNA PIN #
TN4125249OtherBCBS OF TN
TN0076064OtherBCBS OF TN
2020215OtherCIGNA
2116897316901OtherBEECH STREET
089204OtherVALUE OPTIONS
089204OtherVALUE OPTIONS