Organization
JEFFERSON HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLA S JEFFERSON FNP (OWNER)
(865) 966-1934
Entity
Organization
Contact information
Practice address
10621 CHEVY DR STE A, KNOXVILLE, TN 37922-3105
(865) 966-1934
(423) 566-5896
Mailing address
10621 CHEVY DR STE A, KNOXVILLE, TN 37922-3105
(865) 966-1934
(423) 566-5896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6167
TN
Other
Enumeration date
08/29/2006
Last updated
11/09/2007
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