Provider Profile

Mycah Jack, FNP-BC

Unclaimed Profile

About Mycah Jack

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Specialty

Nurse Practitioner — Family (Primary)

Credentials & Licensing

TN license31108
NPI1396481693
NPI issued05/09/2022

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Mycah Jack?

Mycah Jack is a nurse practitioner in Knoxville, TN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

What is Mycah Jack's address?

Mycah Jack is listed at 1930 Alcoa Hwy, Knoxville, TN 37920. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Mycah Jack?

The number on file is (865) 263-2400. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Mycah Jack?

Mycah Jack's National Provider Identifier is 1396481693. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Mycah Jack have?

Mycah Jack has 4+ years experience. Registered with an NPI since 2022. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Mycah Jack's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Mycah Jack. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.