Baskette, Charissa

Baskette, Charissa is an individual health care provider with primary practice located at 120 Hospital Dr Suite 130, Jefferson City TN 37760-5287. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baskette, Charissa can be contacted via phone (865) 475-4742.

Contact Information

Primary practice address
120 Hospital Dr Suite 130 Jefferson City TN 37760-5287
Phone: (865) 475-4742
Fax: (865) 262-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000008233 Tennessee

Profile Details

NPI number 1760473649
LBN Legal business name Baskette, Charissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760473649 NPPES
Tennessee MEDICAID 3902314

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