Individual
MISS JESSICA BOAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
317 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 474-1490
(865) 999-7171
Mailing address
317 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 474-1490
(865) 999-7171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000004527
TN
Other
Enumeration date
07/19/2021
Last updated
08/14/2024
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