Provider Demographics
NPI:1861483943
Name:HAMMONS, CATHY MILLS (APRN, MSN, FNP, BC)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:MILLS
Last Name:HAMMONS
Suffix:
Gender:F
Credentials:APRN, MSN, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7752 MAIDA VALE CIR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3758
Mailing Address - Country:US
Mailing Address - Phone:865-938-3869
Mailing Address - Fax:
Practice Address - Street 1:6005 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6346
Practice Address - Country:US
Practice Address - Phone:658-352-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 8245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN8245OtherAPRN
TN3929402Medicaid
TNAPN8245OtherAPRN
TN3929402Medicare ID - Type Unspecified