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General NPI Number Information
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NPI Number | 1821575473
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Entity Type | Individual
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Provider Name | JACLYN S PARISH APN
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 320 N PARK 40 BLVD STE A
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City | KNOXVILLE
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State | TN
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Zip | 37923-3624
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Country | US
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Telephone | 865-692-3462
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Fax | 865-692-3463
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Provider Business Mailing Address
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Address Line | 320 PARK 40 NORTH BLVD STE. A
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City | KNOXVILLE
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State | TN
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Zip | 37923-3624
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Country | US
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Telephone | 865-692-3462
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Fax | 865-670-6333
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 24500
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License Number State | TN
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