Individual
JAIME ROHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9711 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3330
(865) 373-5050
Mailing address
9711 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3330
(865) 373-5050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.012744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
F400214017
MEDICARE PTAN INDIVIDUAL
IL
05
—
Q081924
—
TN
Enumeration date
04/22/2015
Last updated
04/25/2023
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