Individual
JONATHAN NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9000
Mailing address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126097
—
TN
Enumeration date
09/05/2019
Last updated
09/05/2019
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