Gannon, Caitlin

Gannon, Caitlin is an individual health care provider with primary practice located at 6450 Provision Cares Way , Knoxville TN 37909-2544. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gannon, Caitlin can be contacted via phone (865) 862-1600.

Contact Information

Primary practice address
6450 Provision Cares Way Knoxville TN 37909-2544
Phone: (865) 862-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0000026176 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26176 Tennessee

Profile Details

NPI number 1033763081
LBN Legal business name Gannon, Caitlin
Credentials MSN, APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2019
Last updated Nov 8th, 2022 - about 2 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 1033763081 NPPES
Tennessee MEDICAID Q055524

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