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

SAMANTHA R PETTY, APN, RN

Active

SAMANTHA R PETTY, APN, RN is a 163WR1000X healthcare provider located in KNOXVILLE, Tennessee. NPI 1801950399 is currently active in the NPPES registry. Verify at CMS.

163WR1000X · KNOXVILLE, TN

Registration Details

NPI Number
1801950399
Provider Type
Individual
Gender
Female
NPI Issued
Dec 20, 2006 (19.663978277665 yrs)
Last Updated
Sep 11, 2025
Licenses
RN0000039380 (TN)
APN0000005270 (TN)

Practice Information

Address
11808 KINGSTON PIKE
SUITE 100
KNOXVILLE, TN, 379343838
Browse TN providers · Browse ZIP 37934
Phone
4238990500
Fax
4238992411
Primary Specialty
163WR1000X
163WR1000X
Additional Specialty
Nurse Practitioner
Additional Specialty
163WR1000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.