Provider Demographics
NPI:1083747703
Name:GOSS, CHRISTINA N (WHNP-BC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:N
Last Name:GOSS
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:N
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HWY 6 SOUTH
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920
Mailing Address - Country:US
Mailing Address - Phone:865-305-8888
Mailing Address - Fax:865-305-6180
Practice Address - Street 1:1924 ALCOA HWY 6 SOUTH
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-305-8888
Practice Address - Fax:865-305-6180
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000133438163W00000X
TNAPN0000010431363LW0102X
TN10431363L00000X
TN133438163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health