Provider Demographics
NPI:1164805644
Name:JEFFERSON COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:JEFFERSON COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-397-7024
Mailing Address - Street 1:1030 HIGHWAY 92 S
Mailing Address - Street 2:SUITE B
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-4878
Mailing Address - Country:US
Mailing Address - Phone:865-397-3194
Mailing Address - Fax:
Practice Address - Street 1:1030 HIGHWAY 92 S
Practice Address - Street 2:SUITE B
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-4878
Practice Address - Country:US
Practice Address - Phone:865-397-3194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)