Look up the most recent NPI and PECOS records

Jessica Golliher

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1915 White Ave, Knoxville, TN 37916

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Golliher is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 33 days ago.

Profile Details

Provider ID
1013392836
Provider Type
Individual
Full Name
Golliher, Jessica
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/22/2015
Last Updated
9/17/2020

Contact Information

Practice Location

1915 White Ave, Knoxville, TN 37916

(865) 331-1720

(865) 331-2823

Mailing Location

1915 White Ave, Knoxville, TN 37916-2300

(865) 331-1720

(865) 331-2823

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 20155 Tennessee

Provider Identifiers

ID	Description	Issuer
ID Q015568	Description Medicaid	Issuer Unlisted Tennessee

Jessica Golliher

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Scott, Sarah J

Micaletti, Megan Dannel

Campbell, Amy Louise

Buck, Amy Nanette

Svoboda, Brenda

Cantrill, Deena

Wallace, Elizabeth Ann

Davis, Amy D

Meade, Kristine Marie

Salem, Randa Khalid