Evolve 865

LBN: Evolve 865
Evolve 865 is an health care organization with primary practice located at 460 Medical Park Dr Ste 102 , Lenoir City TN 37772-6469. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Evolve 865 can be contacted via phone (865) 384-4865, or through Larson, Jill Dyvon via phone (865) 384-4865.

Contact Information

Primary practice address
460 Medical Park Dr Ste 102 Lenoir City TN 37772-6469
Phone: (865) 384-4865
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Larson, Jill Dyvon Advanced Practice Nurse (APN)
Phone: (865) 384-4865

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1760189443
LBN Legal business name Evolve 865
DBA Doing business as
Authorized official Larson, Jill Dyvon Advanced Practice Nurse (APN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2023
Last updated Feb 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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