Female

Makenna Black

Pediatric Nurse Practitioner in Knoxville, TN(View on Map)

Full Name

Makenna Black

NPI Number

1215790274

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/02/2024

Specialties

(Taxonomies)

Code

363LP0200X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

35631

Contact
Information

Purpose

Mailing
Location

Address

7216 HALLBROOK RD
1930 ALCOA HWY STE 145

City

Knoxville
Knoxville

State

TN
TN

Postal Code

37918-9419
37920-1546

Country

US
US

Telephone Number

N/A
(865) 305-9749

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/02/2024

Provider Address

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