Most Relevant Information
Provider Data
| NPI Number: | 1003267865 |
| Provider Name: | ANTHONY M. KINGSLEY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 21300 |
Most Important Dates
| Enumeration Date: | 06/23/2016 |
| Last Updated: | 06/23/2016 |
Provider Practice Location
2545 JACKSBORO PIKE
JACKSBORO
TN
377574847
Practice Location Phone/Fax
| Phone: | 4235668181 |
| Fax: | 4235629692 |
Provider Mailing Location
1225 E WEISGARBER RD
SUITE 200
KNOXVILLE
TN
379092604
Provider Mailing Phone/Fax
| Phone: | 8655844747 |
| Fax: | 8655841363 |