Provider Demographics
NPI:1518691674
Name:TOMAN, JOCELYN REDDY (PA-C)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:REDDY
Last Name:TOMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:RYAN
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:1128 E WEISGARBER RD STE 201
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2677
Practice Address - Country:US
Practice Address - Phone:865-909-0744
Practice Address - Fax:833-908-2120
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5031363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant