Provider Demographics
NPI:1053108399
Name:PRATER, MONICA LYNN (NP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:PRATER
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LYNN
Other - Last Name:MOYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2497 S ROANE ST
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8670
Mailing Address - Country:US
Mailing Address - Phone:865-297-4499
Mailing Address - Fax:
Practice Address - Street 1:2497 S ROANE ST
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8670
Practice Address - Country:US
Practice Address - Phone:865-297-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38790363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care