Individual
JAKE MILTON TREY TERRY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8635 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923-1612
(865) 824-0079
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
34884
TN
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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