Individual
MR. JERRY VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
11201 WEST POINT DR, SUITE 102 FARRAGUT FAMILY PRACTICE, KNOXVILLE, TN 37934-2834
(865) 675-1953
(865) 675-0877
Mailing address
11201 WEST POINT DR, SUITE 102 FARRAGUT FAMILY PRACTICE, KNOXVILLE, TN 37934-2834
(865) 675-1953
(865) 675-0877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA0000000311
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TN0106
JDH
—
Enumeration date
06/07/2006
Last updated
12/18/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us