Most Relevant Information
Provider Data
NPI Number: | 1003574823 |
Provider Name: | TONKA RUTH MCKENZIE JACKSON MS |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 11/30/2021 |
Last Updated: | 11/30/2021 |
Provider Practice Location
205 W SPRINGDALE AVE
KNOXVILLE
TN
379175158
Practice Location Phone/Fax
Phone: | 8656379711 |
Fax: | 8656374362 |
Provider Mailing Location
200 TECH CENTER DR
KNOXVILLE
TN
379122747
Provider Mailing Phone/Fax
Phone: | 8656379711 |
Fax: |