Ray, Jacqueline Marie

Ray, Jacqueline Marie is an individual health care provider with primary practice located at 1924 Alcoa Hwy , Knoxville TN 37920-1511. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ray, Jacqueline Marie can be contacted via phone (865) 305-9402.

Contact Information

Primary practice address
1924 Alcoa Hwy Knoxville TN 37920-1511
Phone: (865) 305-9402
Fax: (865) 305-6391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN0000012021 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9332984 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12021 Tennessee

Profile Details

NPI number 1255420972
LBN Legal business name Ray, Jacqueline Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 5th, 2019 - about 5 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 1255420972 NPPES
Tennessee Other APN0000012021 ADVANCED PRACTICE NURSE
Tennessee Other ARNP9332984 ADVANCED PRACTICE NURSE

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