Healthcare Provider Details

I. General information

NPI: 1821485335
Provider Name (Legal Business Name): JAIME ROHDE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 SHERRILL BLVD STE 200
KNOXVILLE TN
37932-3330
US

IV. Provider business mailing address

9711 SHERRILL BLVD STE 200
KNOXVILLE TN
37932-3330
US

V. Phone/Fax

Practice location:
  • Phone: 865-373-5050
  • Fax:
Mailing address:
  • Phone: 865-373-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.012744
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: