Provider Demographics
NPI:1982644506
Name:HONE, JACLYN ELIZABETH (MD)
Entity Type:Individual
Prefix:MRS
First Name:JACLYN
Middle Name:ELIZABETH
Last Name:HONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JACLYN
Other - Middle Name:ELIZABETH
Other - Last Name:DITTENBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:280 FORT SANDERS WEST BLVD 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3352
Mailing Address - Country:US
Mailing Address - Phone:865-539-2579
Mailing Address - Fax:865-539-1502
Practice Address - Street 1:1503 E LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5131
Practice Address - Country:US
Practice Address - Phone:865-982-0835
Practice Address - Fax:865-982-1109
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41047207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine