Provider Demographics
NPI:1649971763
Name:HERRIMAN, GRACE KATHRINE (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:KATHRINE
Last Name:HERRIMAN
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:KATHRINE
Other - Last Name:UNBEHAUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7835 RAMSGATE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6907
Mailing Address - Country:US
Mailing Address - Phone:865-850-2667
Mailing Address - Fax:
Practice Address - Street 1:7835 RAMSGATE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6907
Practice Address - Country:US
Practice Address - Phone:865-850-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33443363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily