Provider Demographics
NPI:1962727255
Name:QUINN, MAGGIE N (APN)
Entity type:Individual
Prefix:MS
First Name:MAGGIE
Middle Name:N
Last Name:QUINN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:E
Other - Last Name:NICHOLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2607 KINGSTON PIKE STE 250
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-3331
Mailing Address - Country:US
Mailing Address - Phone:865-264-2400
Mailing Address - Fax:865-588-6406
Practice Address - Street 1:2607 KINGSTON PIKE STE 250
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3331
Practice Address - Country:US
Practice Address - Phone:865-264-2400
Practice Address - Fax:865-588-6406
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14861363LP0200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1522173Medicaid