Caitlin Gannon MSN, APRN, FNP-C
Family Nurse Practitioner in Knoxville, TN(View on Map)
Full Name
Caitlin Gannon MSN, APRN, FNP-C
NPI Number
1033763081
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/29/2019
Specialties
(Taxonomies)Code
363LF0000X
363LP2300X
Primary Taxonomy
Yes
No
Licenses
State
Tennessee
Tennessee
License Number
26176
0000026176
Contact
Information
Purpose
Mailing
Location
Address
6450 PROVISION CARES WAY
6450 PROVISION CARES WAY
City
Knoxville
Knoxville
State
TN
TN
Postal Code
37909-2544
37909-2544
Country
US
US
Telephone Number
(865) 862-1600
(865) 862-1600
Identifiers
Identifier
Q055524
Identifier State
TN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/08/2022