MAKENNA BLACK
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1215790274- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1930 ALCOA HWY STE 145, KNOXVILLE, TN, 379201546
- Phone
- (865) 305-9749
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: TN #35631
All Addresses
MAILING
7216 HALLBROOK RD
KNOXVILLE, TN, 379189419