MEDICARE: MRS. JACLYN ELIZABETH HONE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	41047	TN

General Provider Information

NPI Number	:	1982644506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACLYN ELIZABETH HONE MD

Provider Business Mailing Address
First Line	:	280 FORT SANDERS WEST BLVD 101
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3352
Country	:	US
Telephone Number	:	865-539-2579
Fax Number	:	865-539-1502

Provider Business Practice Location Address
First Line	:	1503 E LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5131
Country	:	US
Telephone Number	:	865-982-0835
Fax Number	:	865-982-1109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/28/2015

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