Jaycox, Lisa Ann

Jaycox, Lisa Ann is an individual health care provider with primary practice located at 3001 Lake Brook Blvd Ste 101 , Knoxville TN 37909-3761. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Jaycox, Lisa Ann can be contacted via phone (865) 374-0600.

Contact Information

Primary practice address
3001 Lake Brook Blvd Ste 101 Knoxville TN 37909-3761
Phone: (865) 374-0600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9208812 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9208812 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 31303 Tennessee

Profile Details

NPI number 1053685362
LBN Legal business name Jaycox, Lisa Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2012
Last updated Oct 20th, 2022 - about 3 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 1053685362 NPPES
Florida MEDICAID 020717700
Florida Other TGWF7
Florida Other IY900Z

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