Individual
JACKIE GIVENS PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1975 TOWN CENTER BLVD, KNOXVILLE, TN 37922-6638
(865) 546-3998
(865) 546-1123
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN13975
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513938
—
TN
01
—
4235389
BCBS
—
Enumeration date
04/01/2009
Last updated
02/14/2022
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