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Individual

JORDAN DIGIOVANNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 BETHEL VALLEY RD, OAK RIDGE, TN 37830-8050
(865) 574-9355
(865) 574-9353
Mailing address
2928 SPLIT OAK DR, KNOXVILLE, TN 37920-7308
(865) 389-2625

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/26/2017
Last updated
08/07/2025
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