Provider Demographics
NPI:1396039343
Name:PIEL, JENNIFER J (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:J
Last Name:PIEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9625 KROGER PARK DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5880
Mailing Address - Country:US
Mailing Address - Phone:865-531-8100
Mailing Address - Fax:865-539-0909
Practice Address - Street 1:305 BICENTENNIAL HWY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-1962
Practice Address - Country:US
Practice Address - Phone:413-733-4101
Practice Address - Fax:413-796-6821
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2015-08-17
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Provider Licenses
StateLicense IDTaxonomies
TN53108207R00000X
MA257900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400155234Medicare PIN