Jessica Ivey
Family Doctor - Adult Medicine
7009 Kingston Pike
Knoxville
, Tennessee 37919-5706
Jessica Ivey
Family Doctor - Adult Medicine
7009 Kingston Pike
Knoxville
, Tennessee 37919-5706
(865) 450-3172
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Jessica Ivey
- 7009 Kingston Pike
- Knoxville, TN
- Zip : 37919-5706
- Fax : (865) 450-3172
- Phone : (865) 588-8143
Second Address
- Jessica Ivey
- 7009 Kingston Pike
- Knoxville, TN
- Zip : 37919-5706
- Fax : (865) 450-3172
- Phone : (865) 588-8143
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 034822 | TN |
National Provider Identifier
| NPI | 1124096136 |
|---|---|
| Provider Name | Jessica Ivey |
| First Address | Knoxville, TN 37919-5706 |
| Second Address | Knoxville, TN 37919-5706 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 25/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1505170 | (05) | TN |
| 3704598 | (05) | TN |
| 38655381 | (05) | TN |
| H40104 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.