Carolyn Providence Upchurch Valid NPI

Individual provider · Medical Physician Assistant · Knoxville, TN

NPI

1235877382

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA6415 (TN)

Sex

Female

Sole proprietor

No

Enumerated

2022-05-26

Last updated

2025-06-13