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NPI Code Detail

MEDICARE: JACQUELINE HYRONEMUS

MEDICARE: JACQUELINE HYRONEMUS
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
1163W00000XRegistered Nurse14068464TN

General Provider Information

NPI Number : 1013871185
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE HYRONEMUS
Provider Business Mailing Address
First Line : 200 TECH CENTER DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-2747
Country : US
Telephone Number : 865-637-9711
Fax Number :
Provider Business Practice Location Address
First Line : 5302 BALL CAMP PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37921-3234
Country : US
Telephone Number : 865-523-4704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ JACQUELINE HYRONEMUS ” Practice Location

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