Individual
JAMIE B MONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5904
(865) 980-5200
(865) 980-5201
Mailing address
250 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5904
(865) 980-5200
(865) 980-5201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18134
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18134
LICENSE NUMBER
TN
Enumeration date
11/11/2013
Last updated
03/22/2016
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