Provider Demographics
NPI:1912212879
Name:MYNATT, SCARLETT MARIE (APN FNP)
Entity Type:Individual
Prefix:
First Name:SCARLETT
Middle Name:MARIE
Last Name:MYNATT
Suffix:
Gender:F
Credentials:APN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7051 STRAW PLAINS PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-9636
Mailing Address - Country:US
Mailing Address - Phone:865-257-7650
Mailing Address - Fax:
Practice Address - Street 1:2497 S ROANE ST STE 110
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8666
Practice Address - Country:US
Practice Address - Phone:865-599-0300
Practice Address - Fax:865-281-1426
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN145791163WC0200X
TN15560363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health