MEDICARE: JESSICA GRACE SHERROD PHARMD

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	025037	KY
2	183500000X	Pharmacist	T-102120	MS
3	183500000X	Pharmacist	43248	TN

General Provider Information

NPI Number	:	1902750011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA GRACE SHERROD PHARMD

Provider Business Mailing Address
First Line	:	9943 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6923
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9943 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-6923
Country	:	US
Telephone Number	:	865-862-4557
Fax Number	:

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

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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