Organization
DERMATOLOGY ASSOC.OF OAK RIDGE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERRY A ALLEN APN-C (APN-C)
(865) 813-1009
Entity
Organization
Contact information
Practice address
800 OAK RIDGE TPKE, SUITE A-300, OAK RIDGE, TN 37830-6957
(865) 813-1009
(865) 482-4036
Mailing address
800 OAK RIDGE TPKE, SUITE A-300, OAK RIDGE, TN 37830-6957
(865) 813-1009
(865) 482-4036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000013542
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208001120
ANCC CERTIFICATE FOR FNP
TN
01
—
APN0000013542
CERTIFIED ADVANCED PRACTICE NURSE LICENSE
TN
Enumeration date
05/29/2008
Last updated
08/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us