Individual
DR. JACOB TANNER REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0408
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39794
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39794
39794
TN
Enumeration date
05/09/2019
Last updated
01/02/2024
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