Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | APN0000022841 | TN |
N | 363L00000X | Nurse Practitioner | APN0000022841 | TN |
NPI | 1023534732 |
---|---|
Provider Name | Brittany Noel Ware |
First Address | Knoxville, TN 37922-3492 |
Second Address | Knoxville, TN 37922-3492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2017 |
Last Update Date | 22/07/2021 |