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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOUNTAIN OF YOUTH MEDICAL LLC

Active Organization

FOUNTAIN OF YOUTH MEDICAL LLC is a Nurse Practitioner organization located in KNOXVILLE, Tennessee. NPI 1396216339 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · KNOXVILLE, TN

Registration Details

NPI Number
1396216339
Provider Type
Organization
NPI Issued
Dec 17, 2018 (7.6729171972138 yrs)
Last Updated
Mar 6, 2019

Practice Information

Address
135 LOVELL RD
KNOXVILLE, TN, 379341904
Browse TN providers · Browse ZIP 37934
Phone
8653921400
Fax
8653921402
Primary Specialty
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.