Racine, Cheryl Lynn

Racine, Cheryl Lynn is an individual health care provider with primary practice located at 1580 Mint Meadows Drive , Maryville TN 37803-2542. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Racine, Cheryl Lynn can be contacted via phone (865) 384-5166.

Contact Information

Primary practice address
1580 Mint Meadows Drive Maryville TN 37803-2542
Phone: (865) 384-5166
Fax: (865) 380-4095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16462 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN-16462 Tennessee

Profile Details

NPI number 1407115108
LBN Legal business name Racine, Cheryl Lynn
Credentials APN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated Jul 8th, 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 1407115108 NPPES
Tennessee MEDICAID Q000287

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