Tatjana Boljanovic, RN
Individual provider Active NPI Community Health Registered Nurse · Knoxville, TN
NPI 1104965607 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104965607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN0000151122 (TN)
- Practice address
- 140 Dameron Ave
Knoxville, TN 37917-6413 - Phone
- (865) 215-5063
- Fax
- (865) 215-5391
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000151122 | TN | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN0000151122 | TN | Yes |
Addresses
Primary practice location
140 Dameron Ave
Knoxville, TN 37917-6413
Mailing address
9131 Fox Lake Dr
Knoxville, TN 37923-6446
Phone (865) 531-2532
Other providers in Knoxville, TN
- Edward P Bolin
- May Bolin
- William R Bolin
- Katherine Irene Boling
- Paola Veronica Boling
- Hannah Boller
- Reagan Bollig
- Halley Bollinger
- Jordan Bollinger
- Ashley Bolster
All providers in Knoxville, TN · Community Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.