Individual
NICKOLA SNOW JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
240 HANNAH RD, HARRIMAN, TN 37748-5851
(865) 776-3712
Mailing address
10621 CHEVY DR, 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
04/10/2013
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