Basic Information
| Provider Information | |||||||||
| NPI: | 1063437978 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PURKEY | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | L. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1924 ALCOA HIGHWAY BOX U114 | ||||||||
| Address2: | DEPARTMENT OF MEDICINE | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379206999 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8652504523 | ||||||||
| FaxNumber: | 8653059144 | ||||||||
| Practice Location | |||||||||
| Address1: | 1924 ALCOA HIGHWAY | ||||||||
| Address2: | UNIVERSITY OF TENNESSEE MEDICAL CENTER | ||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379206999 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8653059340 | ||||||||
| FaxNumber: | 8653059144 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2006 | ||||||||
| LastUpdateDate: | 01/09/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | MD20756 | TN | N | Other Service Providers | Specialist | 207R00000X | MD020756 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | MD020756 | TN | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 1524697 | 05 | TN | MEDICAID |