Provider Demographics
NPI:1245015718
Name:PORTER, HEATHER SILCOX (APRN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:SILCOX
Last Name:PORTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6348 LONAS SPRING DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2719
Mailing Address - Country:US
Mailing Address - Phone:865-337-5137
Mailing Address - Fax:888-839-6922
Practice Address - Street 1:6348 LONAS SPRING DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2719
Practice Address - Country:US
Practice Address - Phone:865-337-5137
Practice Address - Fax:888-839-6922
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34746363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily