Provider Demographics
NPI:1649889072
Name:MCCOMMONS, CAMELLIA N (FNP)
Entity type:Individual
Prefix:
First Name:CAMELLIA
Middle Name:N
Last Name:MCCOMMONS
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:CAMELLIA
Other - Middle Name:
Other - Last Name:TWEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 632476
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2476
Mailing Address - Country:US
Mailing Address - Phone:423-230-2801
Mailing Address - Fax:423-239-7750
Practice Address - Street 1:444 CLINCHFIELD ST STE 2800
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3858
Practice Address - Country:US
Practice Address - Phone:423-230-2801
Practice Address - Fax:423-239-7750
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27760363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily