Individual
JACOB GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4505
(865) 545-8000
Mailing address
7112 LAWGIVER CIR, CORRYTON, TN 37721-2558
(606) 269-2112
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
23727
TN
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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