Individual
MR. JASON MICHAEL KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, PHD
Contact information
Practice address
200 NEW YORK AVE, OAK RIDGE, TN 37830-5212
(865) 835-5400
Mailing address
200 NEW YORK AVE STE 200, OAK RIDGE, TN 37830-5225
(865) 835-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704210566
MI
363L00000X
Nurse Practitioner
4704210566
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
41041
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q112378
—
TN
Enumeration date
09/02/2006
Last updated
04/29/2026
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