Basic Information
| Provider Information | |||||||||
| NPI: | 1275857435 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCGLOTHIN | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | RN,BSN,OCN,NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 10988 | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379390988 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8658620998 | ||||||||
| FaxNumber: | 8655441861 | ||||||||
| Practice Location | |||||||||
| Address1: | 420 W MORRIS BLVD | ||||||||
| Address2: | SUITE 400 C | ||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378132283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4235870491 | ||||||||
| FaxNumber: | 4235850378 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2010 | ||||||||
| LastUpdateDate: | 02/19/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 14932 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | P00843226 | 01 | MEDICARE RR | OTHER | 1519940 | 05 | TN | MEDICAID | 4266130 | 01 | TN | BLUE CROSS BLUE SHIELD | OTHER |