Individual
JADELEIZE GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923
(865) 373-7100
(865) 374-2029
Mailing address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
(865) 374-2029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20456
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018378
—
TN
Enumeration date
10/21/2015
Last updated
09/16/2020
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