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Alfred Vaughn Derise Jackson JR., MD
Family Medicine Physician in Knoxville, Tennessee
NPI 1609189695

Alfred Vaughn Derise Jackson JR. is a Family Medicine Physician based in Knoxville, TN. Alfred Vaughn Derise Jackson JR. practices in Knoxville, TN and has the professional credentials of MD. The NPI Number for Alfred Vaughn Derise Jackson JR. is 1609189695 and holds a License No. 50821 (Tennessee).

The current practice location address for Alfred Vaughn Derise Jackson JR. is 930 Adell Ree Park Ln, Knoxville, TN and can be reached out via phone at 865-769-2600.

Location: 930 Adell Ree Park Ln, Knoxville, TN, 37909-2543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609189695
Provider Name
Alfred Vaughn Derise Jackson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
930 Adell Ree Park Ln, Knoxville, TN, 37909-2543
Phone Number
865-769-2600
Fax Number
Provider Enumeration Date
07/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
930 Adell Ree Park Ln
City
Knoxville
State
Tennessee
Zip
37909-2543
Phone Number
865-769-2600
Fax Number
person
Provider Business Mailing Address Details
Address
930 Adell Ree Park Ln
City
Knoxville
State
Tennessee
Zip
37909-2543
Phone Number
865-769-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
50821 (Tennessee)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
50821 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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