Basic Information
Provider Information
NPI: 1427550847
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARLISLE
FirstName: SHERRI
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 E HILL AVE STE 230
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379152565
CountryCode: US
TelephoneNumber: 8658620998
FaxNumber: 8655441861
Practice Location
Address1: 420 W MORRIS BLVD STE 410
Address2:  
City: MORRISTOWN
State: TN
PostalCode: 37813
CountryCode: US
TelephoneNumber: 4235870443
FaxNumber: 4235850378
Other Information
ProviderEnumerationDate: 03/01/2018
LastUpdateDate: 05/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X24076TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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