Individual
JESSICA IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9333 PARK WEST BLVD STE 200, KNOXVILLE, TN 37923-4317
(865) 531-4600
(833) 908-2096
Mailing address
PO BOX 26194, BELFAST, ME 04915-2012
(865) 584-4747
(865) 450-3172
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
034822
TN
207R00000X
Internal Medicine Physician
Primary
34822
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505170
—
TN
05
—
3704598
—
TN
05
—
38655381
—
TN
Enumeration date
03/08/2006
Last updated
06/29/2023
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