Jill Dyvon Larson in Knoxville - Nurse Practitioner
Jill Dyvon Larson - NPI 1477678696
Jill Dyvon Larson is a Nurse Practitioner in Knoxville, Tennessee. Jill Dyvon Larson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jill Dyvon Larson is 1477678696. The last update date is 2020-02-19.
Jill Dyvon Larson's current location address is 3118 Alcoa Hwy, Knoxville, Tennessee. You can contact this provider via phone number 8653147125. The mailing address for Jill Dyvon Larson is 3118 Alcoa Hwy, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Dyvon Larson |
|---|---|
| Address | 3118 Alcoa Hwy, Knoxville, Tennessee |
| Phone Number | 8653147125 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1477678696 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-02-19 |
Provider Mailing Address Detail
| Address | 3118 Alcoa Hwy |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379204791 |
| Phone Number | 8653147125 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 12618 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1510344 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jill Dyvon Larson by the Centers for Medicare & Medicaid Services?
The Jill Dyvon Larson has been issued the NPI (National Provider Identifier) 1477678696, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jill Dyvon Larson located?
The Jill Dyvon Larson is located at 3118 Alcoa Hwy, Knoxville, TN 379204791.
What is Jill Dyvon Larson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jill Dyvon Larson's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did Jill Dyvon Larson receive its 1477678696 assignment from the Centers for Medicare & Medicaid Services?
The Jill Dyvon Larson was assigned its 1477678696 on 2007-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jill Dyvon Larson most recently updated or revised?
The details related to Jill Dyvon Larson, including its address, specialty, and other relevant information, were last updated or revised on 2020-02-19.