Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Icp Tennessee, LLC

Organization Clinical Nurse Specialist · NPI 1205247699

Icp Tennessee, LLC is a Clinical Nurse Specialist in Knoxville, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Prosperity Pl
Knoxville, TN 37923
Phone: (855) 498-6767
Fax: (479) 968-1673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 746 Crossover Ln, Memphis, TN 38117-4905 — (855) 498-6767

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X (TN)

Record details

NPI number1205247699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Thomason — Authorized Official · (855) 498-6767
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing addressPo Box 9178, Russellville, AR 72811-9178

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