Individual ProviderMary Katrina Quist RouseNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2100 Clinch Ave Ste 330, Knoxville, TN 37916(865) 673-8229PECOS EnrollmentBased on the most recent information from CMS, provider Mary Katrina Quist Rouse does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003473372Provider TypeIndividualFull NameRouse, Mary Katrina QuistTitleMrs.CredentialMSN, APRN, FNP-BCGenderFemaleSole ProprietorNoEnumeration Date5/22/2019Last Updated9/9/2019Contact InformationPractice LocationPractice Address2100 Clinch Ave Ste 330, Knoxville, TN 37916Phone(865) 673-8229Fax(865) 673-8893Mailing LocationMailing Address2100 Clinch Ave Ste 330, Knoxville, TN 37916-2295Phone(865) 673-8229Fax(865) 673-8893Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense25752Tennessee