Frazier, Charlene Margaret

Frazier, Charlene Margaret is an individual health care provider with primary practice located at 215 Hedrick Dr , Newport TN 37821-2902. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Frazier, Charlene Margaret can be contacted via phone (423) 623-5301.

Contact Information

Primary practice address
215 Hedrick Dr Newport TN 37821-2902
Phone: (423) 623-5301
Fax: (423) 625-0808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X APN12030 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1115462 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN12030 Tennessee

Profile Details

NPI number 1164411831
LBN Legal business name Frazier, Charlene Margaret
Credentials APN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 9th, 2011 - about 13 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 1164411831 NPPES
Tennessee MEDICAID 3644759

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