JED MAVERICK NEWPORT

KNOXVILLE, TN
NPI1265267413
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  37115)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TN  242968)
Enumeration Date2024-09-06
Last Update Date2024-10-11
Business Address
JED MAVERICK NEWPORT
9352 PARK WEST BLVD
KNOXVILLE, TN 37923-4387
Phone number: 865-373-1000
Mailing Address
JED MAVERICK NEWPORT
1106 OAK HAVEN RD
KNOXVILLE, TN 37932-2628
Phone number: 423-215-4992