NPI 1174911838

Ocoee Pediatrics of Cleveland, PC

Organisation Family Nurse Practitioner Cleveland, TN

Practice location

Address: 2825 Westside Dr NW Suite C, Cleveland, TN 37312-3504
Phone: (423) 614-3733
Fax: (423) 614-3738

Authorised official

Name: Lisa Defriece
Title: Billing Supervisor
Phone: (423) 339-2320

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 17785 (TN)

Other Nurse Practitioner providers in Tennessee →

Specialist

Other Service Providers Taxonomy 174400000X Licence 021336 (TN)

Other Specialist providers in Tennessee →

Registry record

NPI: 1174911838
Entity type: Organization
NPI issued: 5 Jan 2015
Record last updated: 5 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.