Provider Demographics
NPI:1750020129
Name:PASCHAL, MICHAELA M (FNP)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:M
Last Name:PASCHAL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MICHAELA
Other - Middle Name:
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-500-2144
Mailing Address - Fax:833-908-2159
Practice Address - Street 1:1907 W MORRIS BLVD STE A200
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-3880
Practice Address - Country:US
Practice Address - Phone:423-625-7777
Practice Address - Fax:833-908-2159
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30791363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily