Provider Demographics
NPI:1154592897
Name:VAN NES, JACLYN BETH (MD)
Entity type:Individual
Prefix:DR
First Name:JACLYN
Middle Name:BETH
Last Name:VAN NES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1928 ALCOA HWY
Mailing Address - Street 2:MEDICAL BUILDING B SUITE 300
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1502
Mailing Address - Country:US
Mailing Address - Phone:865-305-9799
Mailing Address - Fax:865-305-9752
Practice Address - Street 1:1928 ALCOA HWY
Practice Address - Street 2:MEDICAL BUILDING B SUITE 300
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1502
Practice Address - Country:US
Practice Address - Phone:865-305-9799
Practice Address - Fax:865-305-9752
Is Sole Proprietor?:No
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000043229207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology