MEDICARE: JODI P NOWELL PHARM.D.

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
1	183500000X	Pharmacist	9420	TN

General Provider Information

NPI Number	:	1275599078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI P NOWELL PHARM.D.

Provider Business Mailing Address
First Line	:	925 WEATHERLY HILLS BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934-1668
Country	:	US
Telephone Number	:	865-986-8052
Fax Number	:	865-986-1542

Provider Business Practice Location Address
First Line	:	721 HIGHWAY 321 N
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37771-5003
Country	:	US
Telephone Number	:	865-986-8052
Fax Number	:	865-986-1542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	07/21/2022

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