Basic Information
Provider Information
NPI: 1245858414
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRIVER
FirstName: SHERI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5808 SUMMER GROVE LN
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379313722
CountryCode: US
TelephoneNumber: 8657401780
FaxNumber:  
Practice Location
Address1: 9325 S NORTHSHORE DR
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379226548
CountryCode: US
TelephoneNumber: 8653307425
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2020
LastUpdateDate: 09/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X0000219843TNN Nursing Service ProvidersRegistered Nurse 
363LP0808XAPN0000030005TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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