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Ms. Basilia Pendleton Dameron, NP
Pediatric Nurse Practitioner in Knoxville, Tennessee
NPI 1700230356

Basilia Pendleton Dameron is a Pediatric Nurse Practitioner based in Knoxville, TN and is specialized in Pediatrics. Basilia Pendleton Dameron practices in Knoxville, TN and has the professional credentials of NP. The NPI Number for Basilia Pendleton Dameron is 1700230356 and holds a License No. APN0000021065 (Tennessee).

The current practice location address for Basilia Pendleton Dameron is 2100 Clinch Avenue Suite 510, Knoxville, TN and can be reached out via phone at 865-824-4939 and via fax at 866-630-2013.

Location: 2100 Clinch Avenue Suite 510, Knoxville, TN, 37901-5004
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Provider Profile Details
NPI Number
1700230356
Provider Name
Basilia Pendleton Dameron
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2100 Clinch Avenue Suite 510, Knoxville, TN, 37901-5004
Phone Number
865-824-4939
Fax Number
866-630-2013
Provider Enumeration Date
04/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q022607 05 TN
institution
Provider Business Practice Location Address Details
Address
2100 Clinch Avenue Suite 510
City
State
Zip
37916-2225
Phone Number
865-824-4939
Fax Number
866-630-2013
person
Provider Business Mailing Address Details
Address
2100 Clinch Avenue Suite 510
City
State
Zip
37916-2225
Phone Number
865-824-4939
Fax Number
866-630-2013
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APN0000021065 (Tennessee)
Definition
Definition to come...
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