Individual
MS. JACQUELINE MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9402
(865) 305-6391
Mailing address
4035 CRESCENT PARK DR, RIVERVIEW, FL 33578-3605
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN0000012021
TN
363LA2100X
Acute Care Nurse Practitioner
ARNP9332984
FL
363LF0000X
Family Nurse Practitioner
Primary
12021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000012021
ADVANCED PRACTICE NURSE
TN
01
—
ARNP9332984
FLORIDA DOH
FL
Enumeration date
10/12/2006
Last updated
11/05/2019
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