Ivey, Jessica

Ivey, Jessica is an individual health care provider with primary practice located at 9333 Park West Blvd Ste 200 , Knoxville TN 37923-4317. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ivey, Jessica can be contacted via phone (865) 531-4600.

Contact Information

Primary practice address
9333 Park West Blvd Ste 200 Knoxville TN 37923-4317
Phone: (865) 531-4600
Fax: (833) 908-2096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 034822 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34822 Tennessee

Profile Details

NPI number 1124096136
LBN Legal business name Ivey, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124096136 NPPES
Tennessee MEDICAID 38655381
Tennessee MEDICAID 1505170
Tennessee MEDICAID 3704598

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