Raven Michelle Heatherly
NP-C | Nurse Practitioner | 9+ years Exp
90 Vermont Ave Ste 300, Oak Ridge
Tennessee, 37830
865-481-2541
Raven Michelle Heatherly is a Oak Ridge, Tennessee based nurse practitioner with 9 years of experience as Nurse Practitioner. She completed her graduation from Lincoln Memorial University Medical Department in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Raven Michelle Heatherly is 23818 for Nurse Practitioner in Tennessee. Her current practice location is 90 Vermont Ave Ste 300, Oak Ridge. Patients can reach her at 865-481-2541 or can fax her at 865-483-8151. Raven Michelle Heatherly is NP-C with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1417456203.
Raven Michelle Heatherly has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Raven Michelle Heatherly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Raven Michelle Heatherly |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP-C |
| Experience: | 9+ years |
| Medical School Attended: | Lincoln Memorial University Medical Department |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 90 Vermont Ave Ste 300, Oak Ridge,
Tennessee, 37830 |
| Phone: | 865-481-2541 |
| Fax: | 865-483-8151 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9931457231 |
| Enrollment ID: | I20180802001717 |
| NPI Number: | 1417456203 |
| NPI Enumeration Date: | 07 Feb, 2018 |
| NPI Last Update On: | 08 Aug, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raven Michelle Heatherly are as mentioned below.
| License Number | Specialization | State | Status | |
| 23818 | Nurse Practitioner | Tennessee | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Raven Michelle Heatherly is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Fast Pace Medical Clinic Pllc (5395881841) | 332 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Raven Michelle Heatherly
256 Fort Sanders West Blvd Ste 200,
Knoxville, Tennessee |
| Zip: | 37922-3355 |
| Phone Number: | 865-769-4500 |
| Fax Number: | 865-769-4501 |
Patients can reach Raven Michelle Heatherly at
90 Vermont Ave Ste 300, Oak Ridge, Tennessee or can
call to book an appointment on 865-481-2541.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.