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General NPI Number Information
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NPI Number | 1104991637
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Entity Type | Individual
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Provider Name | JEWELL ANN OHMS ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 5500 CREEKWOOD PARK BLVD
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City | LENOIR CITY
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State | TN
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Zip | 37772
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Country | US
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Telephone | 865-986-8082
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Fax | 865-986-5890
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Provider Business Mailing Address
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Address Line | 1923 SULPHUR SPRINGS RD
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City | MORRISTOWN
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State | TN
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Zip | 37813-5654
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Country | US
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Telephone | 423-317-9344
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Fax | 423-714-2355
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 28113704A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | 284585
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 38882
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License Number State | TN
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