Basic Information
| Provider Information | |||||||||
| NPI: | 1487971206 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WHISENANT | ||||||||
| FirstName: | CYNTHIA | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 234 MORRELL RD | ||||||||
| Address2: | SUITE 304 | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379195876 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8652460143 | ||||||||
| FaxNumber: | 8652460146 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 PROSPERITY RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379234717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8652460143 | ||||||||
| FaxNumber: | 8652460146 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2010 | ||||||||
| LastUpdateDate: | 05/03/2016 | ||||||||
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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 | 363LF0000X | APN0000014851 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.