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NPI Code Detail

MEDICARE: JACKSON MCKINNEY FRAZIER

MEDICARE: JACKSON MCKINNEY FRAZIER
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
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1720910821
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKSON MCKINNEY FRAZIER
Provider Business Mailing Address
First Line : 1923 SULPHUR SPRINGS RD
Second Line :
City : MORRISTOWN
State : TN
Zip : 37813-5654
Country : US
Telephone Number : 423-317-9344
Fax Number : 423-714-2355
Provider Business Practice Location Address
First Line : 2018 WESTERN AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37921-5718
Country : US
Telephone Number : 865-544-0406
Fax Number : 865-544-0480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JACKSON MCKINNEY FRAZIER ” Practice Location

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