Hamilton, Connie M

Hamilton, Connie M is an individual health care provider with primary practice located at 9330 Park West Blvd Ste 402 , Knoxville TN 37923-4312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Hamilton, Connie M can be contacted via phone (865) 690-3003.

Contact Information

Primary practice address
9330 Park West Blvd Ste 402 Knoxville TN 37923-4312
Fax: (865) 374-2143
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN0000008350 Tennessee

Profile Details

NPI number 1720137243
LBN Legal business name Hamilton, Connie M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 28th, 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 1720137243 NPPES
Tennessee MEDICAID Q013162

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