Individual
JENNIFER OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 MED TECH PKWY, SUITE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
(423) 929-0497
Mailing address
110 MED TECH PKWY, SUITE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
(423) 929-0497
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
50435
TN
207W00000X
Ophthalmology Physician
T-2130
MS
Other
Enumeration date
07/21/2008
Last updated
12/04/2013
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