Provider / Organization | NPI | Date Certified |
---|---|---|
KRYSTAL TRENCHFIELD WOOLMAN | 1538790985 | 2024-11-10 |
Krystal Amanda Trenchfield [F] graduated in 2019 and primarily specializes in Physician Assistant.
Krystal Trenchfield Woolman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538790985. Registration indicates Krystal Trenchfield Woolman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
PECOS ID | 9032549290 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Krystal Trenchfield Woolman PA-C |
Practice Office Address | 1400 DOWELL SPRINGS BLVD STE 330 KNOXVILLE, TN US |
Practice Office Telephone | 8653466472 |
Practice Office Fax | 8653128965 |
Mailing Address | 1400 DOWELL SPRINGS BLVD STE 330 KNOXVILLE, TN 379092445 US |
Business Telephone | 8653466472 |
Business Fax | 8653128965 |
Address | City / State | Phone / Fax |
---|---|---|
204 Highwood Dr | Knoxville, TN 379207001 | 5164679483 |
Code | Practice | License No State |
---|---|---|
363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 0010-09880
NC |
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 4131
TN |