Individual
JEWEL MCMILLEN BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
538 W 5TH AVE, KNOXVILLE, TN 37917-7109
(865) 525-2104
(865) 525-2212
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN5190
TN
363LF0000X
Family Nurse Practitioner
RN35903
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3906439
—
TN
Enumeration date
07/12/2005
Last updated
09/30/2020
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