Individual
JESSICA L. VINSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7714 CONNER RD STE 103, POWELL, TN 37849-3559
(865) 938-8121
(865) 212-5561
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5708
(865) 584-7712
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD50832
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005533
—
TN
Enumeration date
06/18/2009
Last updated
07/29/2019
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