Provider Demographics
NPI:1053099291
Name:TOLER, REBEKAH ANNE (APRN)
Entity type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:ANNE
Last Name:TOLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 OFFICE PARK CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1161
Mailing Address - Country:US
Mailing Address - Phone:865-200-8364
Mailing Address - Fax:
Practice Address - Street 1:6914 OFFICE PARK CIR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1161
Practice Address - Country:US
Practice Address - Phone:865-200-8364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily