Individual
JODY ALAN PERSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5440
Mailing address
1196 JENKINS LN, KNOXVILLE, TN 37934-4189
(865) 777-5262
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000115313
TN
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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