Provider Demographics
NPI:1962112375
Name:CROSS, CLAIRE LINCOLN (APRN)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:LINCOLN
Last Name:CROSS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5612 CROOKED PINE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-3782
Mailing Address - Country:US
Mailing Address - Phone:423-202-2285
Mailing Address - Fax:
Practice Address - Street 1:240 S PETERS RD STE 102
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5226
Practice Address - Country:US
Practice Address - Phone:865-839-5574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily