Healthcare Provider Details

I. General information

NPI: 1750510780
Provider Name (Legal Business Name): JHERI B VOLNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 S CALDERWOOD ST
ALCOA TN
37701-2106
US

IV. Provider business mailing address

515 FAIRBANKS WAY
KNOXVILLE TN
37918-9038
US

V. Phone/Fax

Practice location:
  • Phone: 865-681-6990
  • Fax: 865-981-9054
Mailing address:
  • Phone: 865-681-6990
  • Fax: 865-981-9054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number150353
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number150353
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: