Individual provider · Type 1 NPI

Jake Milton Trey Terry Iii, NP

Nurse Practitioner · Knoxville, TN

NPI number 1063371854 Active

Practice location

8635 Middlebrook Pike
Knoxville, TN 37923-1612

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X34884 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063371854

Jake Milton Trey Terry Iii, NP's National Provider Identifier is 1063371854, issued on Jan 19, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Knoxville, TN. The record was last updated on Jan 19, 2026.