Provider Demographics
NPI:1962244491
Name:ONE HEART PRIMARY CARE, PLLC
Entity type:Organization
Organization Name:ONE HEART PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FAMILY NURSE PACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:865-392-1888
Mailing Address - Street 1:PO BOX 480
Mailing Address - Street 2:
Mailing Address - City:OLIVER SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37840
Mailing Address - Country:US
Mailing Address - Phone:865-392-1888
Mailing Address - Fax:865-392-1889
Practice Address - Street 1:515 ROCK BRIDGE RD
Practice Address - Street 2:
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840
Practice Address - Country:US
Practice Address - Phone:865-392-1888
Practice Address - Fax:865-392-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty