MYCAH JACK

KNOXVILLE, TN
NPI1396481693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  31108)
Enumeration Date2022-05-09
Last Update Date2022-05-09
Business Address
MYCAH JACK FNP-BC
1930 ALCOA HWY
KNOXVILLE, TN 37920-1500
Phone number: 865-263-2400
Mailing Address
MYCAH JACK FNP-BC
4209 DEERFIELD RD
KNOXVILLE, TN 37921-3219
Phone number: 865-313-3709
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