Ucsc Primary Care

NPI 1497037451 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1497037451
Enumeration Date 09/15/2011
Last Updated 09/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JON PATRICK JON
Position MEDICAL DIRECTOR
Phone (865) 992-6060
Fax (865) 992-7060
Practice Location
598 JOHN DEERE DR
MAYNARDVILLE TN, 37807-3212, US
Phone (865) 992-6060
Fax (865) 992-7060
Business Location
598 JOHN DEERE DR
MAYNARDVILLE TN, 37807-3212, US
Phone (865) 992-6060
Fax (865) 992-7060
Toxanomy
Taxonomy Code 363LF0000X
License State Tennessee
License Number 15988
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According to our database, Ucsc Primary Care NPI is 1497037451, taxonomy code is 363LF0000X and license number is 15988, license state is located at Tennessee. Ucsc Primary Care physically located at 598 John Deere Dr, Maynardville TN, 37807-3212. NPI Number 1033115704 has the healthcare provider type.

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1497037451 NPI number is provided on an as is basis without warranty of any kind. 1497037451 is maintained by the National Plan & Provider Enumeration System. The contents of Ucsc Primary Care are for informational purposes only.