Kathryn Jeffries Abbott, RN

Individual provider Active NPI Community Health Registered Nurse · Maryville, TN

NPI 1851437685 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1851437685
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN0000055405 (TN)
Practice address
1006 E Lamar Alexander Pkwy
Maryville, TN 37804-5132
Phone
(865) 983-4582
Fax
(865) 983-4574
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
RN0000055405TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000055405 TN Yes

Addresses

Primary practice location

1006 E Lamar Alexander Pkwy
Maryville, TN 37804-5132

Mailing address

1363 W Hunt Rd
Maryville, TN 37801-1791
Phone (865) 983-6024

Other providers in Maryville, TN

All providers in Maryville, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.