Provider Demographics
NPI:1427521053
Name:KNIGHT, CHARLOTTE JOURE (APRN)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:JOURE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:AUGUSTA
Other - Last Name:JOURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3085 FOUNTAINSIDE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7839
Mailing Address - Country:US
Mailing Address - Phone:901-757-3643
Mailing Address - Fax:
Practice Address - Street 1:9067 POPLAR AVE STE 109
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-7851
Practice Address - Country:US
Practice Address - Phone:901-522-6745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily