Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 3005909 | KY |
Y | 363L00000X | Nurse Practitioner | APN0000012226 | TN |
NPI | 1003992421 |
---|---|
Provider Name | Deborah J Graf |
First Address | Knoxville, TN 37939-0988 |
Second Address | Powell, TN 37849-4029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 29/11/2016 |