Provider Demographics
NPI:1811860679
Name:LOWE, NATASHA NORINE
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:NORINE
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1093 NEW CLEAR BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY TOP
Mailing Address - State:TN
Mailing Address - Zip Code:37769-5625
Mailing Address - Country:US
Mailing Address - Phone:423-437-7733
Mailing Address - Fax:
Practice Address - Street 1:1093 NEW CLEAR BRANCH RD
Practice Address - Street 2:
Practice Address - City:ROCKY TOP
Practice Address - State:TN
Practice Address - Zip Code:37769-5625
Practice Address - Country:US
Practice Address - Phone:423-437-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000079738164W00000X, 251J00000X, 364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No251J00000XAgenciesNursing Care