Miller, Mary Whitsitt

Miller, Mary Whitsitt is an individual health care provider with primary practice located at 2018 Clinch Avenue South Tower 1St Floor, Knoxville TN 37916-3791. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Miller, Mary Whitsitt can be contacted via phone (865) 637-8481.

Contact Information

Primary practice address
2018 Clinch Avenue South Tower 1St Floor Knoxville TN 37916-3791
Phone: (865) 637-8481
Fax: (865) 246-7560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 8357 Tennessee

Profile Details

NPI number 1881757615
LBN Legal business name Miller, Mary Whitsitt
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Apr 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881757615 NPPES
Tennessee MEDICAID Q002739

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