Most Relevant Information
Provider Data
| NPI Number: | 1003473372 |
| Provider Name: | MARY KATRINA QUIST ROUSE MSN, APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 25752 |
Most Important Dates
| Enumeration Date: | 05/22/2019 |
| Last Updated: | 09/09/2019 |
Provider Practice Location
2100 CLINCH AVE STE 330
KNOXVILLE
TN
37916
Practice Location Phone/Fax
| Phone: | 8656738229 |
| Fax: | 8656738893 |
Provider Mailing Location
2100 CLINCH AVE STE 330
KNOXVILLE
TN
379162295
Provider Mailing Phone/Fax
| Phone: | 8656738229 |
| Fax: | 8656738893 |