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Provider Information for 1720194236

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JULIE LANKFORD CARPENTER APN

Other Name:   JULIE LANKFORD
Gender: FEMALE

Individual NPI: 1720194236

Calendar   Last Updated:  2017-01-31
  Certification Date: 

Details

Name Value
NPI 1720194236
Enumeration Date 2006-08-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 5629
MARYVILLE, TN 37802-5629
United States

Phone: 865-273-1752 | Fax: 865-273-1755
View Map External Link
Primary Practice Address 907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5015
United States

Phone: 865-977-4618 | Fax: 865-273-4390
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID TN 1517538
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family TN APN0000007473