Provider Demographics
NPI:1073893475
Name:NEWMAN, ALISA SUE (CNP)
Entity type:Individual
Prefix:MRS
First Name:ALISA
Middle Name:SUE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:270 BMH PHYSICIANS OFFICE BLDG
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5904
Mailing Address - Country:US
Mailing Address - Phone:865-546-1642
Mailing Address - Fax:865-681-7949
Practice Address - Street 1:270 BMH PHYSICIANS OFFICE BLDG
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5904
Practice Address - Country:US
Practice Address - Phone:865-546-1642
Practice Address - Fax:833-396-2528
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006356363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner