Paul, Tina Marie

Paul, Tina Marie is an individual health care provider with primary practice located at 4711 Centerline Dr Ste 100 , Knoxville TN 37917-1405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Paul, Tina Marie can be contacted via phone (865) 647-3260.

Contact Information

Primary practice address
4711 Centerline Dr Ste 100 Knoxville TN 37917-1405
Phone: (865) 647-3260
Fax: (865) 647-3279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 94868 Tennessee

Profile Details

NPI number 1356322341
LBN Legal business name Paul, Tina Marie
Credentials APN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Sep 2nd, 2020 - about 6 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 1356322341 NPPES
Tennessee MEDICAID 3346503

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