Mary Lou Cameron, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN14811 Issued in TN

Practice address

1596 Highway 33 S
New Tazewell, TN 37825-7104

Phone

(423) 626-8271

Fax

(423) 626-0688

NPI assigned

Apr 7, 2010

Last updated

Nov 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mary Lou Warwick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Tennessee Clinic Corp

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1609182484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1922323559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E BROADWAY BLVD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602517",
            "telephone_number": "865-475-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 HIGHWAY 33 S",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378257104",
            "telephone_number": "423-626-8271",
            "fax_number": "423-626-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN144877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN14811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WARWICK",
            "middle_name": "LOU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheryl Ann Bishop
• Amber Blevins
• William Herbert Brooks, LPN
• Juanita M Brown, DO
• Jessica Broyles, RD, LDN
• Kelsey Paige Carroll
• Cherokee Health Systems (River Valley Health)
• Claiborne Care Center
• Joseph J Collins, PHARMD
• Brianna Cooke, FNP-C

• Family Nurse Practitioner in New Tazewell, TN
• Providers in New Tazewell, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.