Provider Demographics
NPI:1801836465
Name:FREE, RICHARD C (FNP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:C
Last Name:FREE
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Gender:M
Credentials:FNP
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Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:721 HIGHWAY 321 N
Practice Address - Street 2:SUITE C
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-5003
Practice Address - Country:US
Practice Address - Phone:865-986-3283
Practice Address - Fax:865-986-3339
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-03-17
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Provider Licenses
StateLicense IDTaxonomies
TNAPN7948363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4068896OtherBLUE CROSS
TNP00297354OtherRAILROAD MEDICARE
TN3344975Medicare PIN