Provider Demographics
NPI:1306580485
Name:FAULKNER, ANN (MS, CGC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:FAULKNER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-4453
Mailing Address - Country:US
Mailing Address - Phone:334-324-9196
Mailing Address - Fax:
Practice Address - Street 1:305 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-4453
Practice Address - Country:US
Practice Address - Phone:334-324-9196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN449170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS