person
Keaton Cupp, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Knoxville, Tennessee
NPI 1376231084

Keaton Cupp is a Psychiatric/Mental Health Nurse Practitioner based in Maryville, TN and is specialized in Psychiatric/Mental Health. Keaton Cupp practices in Knoxville, TN and has the professional credentials of PMHNP-BC. The NPI Number for Keaton Cupp is 1376231084 and holds a License No. 35647 (Tennessee).

The current practice location address for Keaton Cupp is 4611 Asheville Hwy, Knoxville, TN and can be reached out via phone at 865-246-2104.

Location: 4611 Asheville Hwy, Knoxville, TN, 37802-5777
person
Provider Profile Details
NPI Number
1376231084
Provider Name
Keaton Cupp
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4611 Asheville Hwy, Knoxville, TN, 37802-5777
Phone Number
865-246-2104
Fax Number
Provider Enumeration Date
05/01/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4611 Asheville Hwy
City
State
Zip
37914-3615
Phone Number
865-246-2104
Fax Number
person
Provider Business Mailing Address Details
Address
4611 Asheville Hwy
City
State
Zip
37914-3615
Phone Number
865-246-2104
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
35647 (Tennessee)
Definition
Definition to come...
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