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)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