person
Charles Jacob Cupp, FNP
Family Nurse Practitioner in Madisonville, Tennessee
NPI 1811675960

Charles Jacob Cupp is a Family Nurse Practitioner based in Knoxville, TN and is specialized in Family. Charles Jacob Cupp practices in Madisonville, TN and has the professional credentials of FNP. The NPI Number for Charles Jacob Cupp is 1811675960 and holds a License No. 34212 (Tennessee).

The current practice location address for Charles Jacob Cupp is 167 Warren St, Madisonville, TN and can be reached out via phone at 423-442-5480 and via fax at 833-908-2129.

Location: 167 Warren St, Madisonville, TN, 37909-1383
person
Provider Profile Details
NPI Number
1811675960
Provider Name
Charles Jacob Cupp
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
167 Warren St, Madisonville, TN, 37909-1383
Phone Number
423-442-5480
Fax Number
833-908-2129
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
167 Warren St
City
State
Zip
37354-3001
Phone Number
423-442-5480
Fax Number
833-908-2129
person
Provider Business Mailing Address Details
Address
167 Warren St
City
State
Zip
37354-3001
Phone Number
423-442-5480
Fax Number
833-908-2129
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
34212 (Tennessee)
Definition
Definition to come...
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