Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jellico Community Hospital Inc

Organization Certified Registered Nurse Anesthetist · NPI 1972674851

Jellico Community Hospital Inc is a Certified Registered Nurse Anesthetist in Jellico, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

188 Hospital Lan
Jellico, TN 37762-4400
Phone: (423) 784-1334
Fax: (423) 784-1136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1972674851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Ghulam — Controller · (423) 784-1334
Other names Jellico Community Hospital
NPI enumeratedNovember 13, 2006
Last updated in NPPESJune 7, 2016
Mailing addressPo Box 844869, Dallas, TX 75284-4869

Other providers in Jellico