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

Smokey Mountain Medical LLC

Organization Family Nurse Practitioner · NPI 1902627169

Smokey Mountain Medical LLC is a Family Nurse Practitioner in Jacksboro, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

163 Perkins Ln
Jacksboro, TN 37757-2833
Phone: (423) 592-0422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1902627169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Kingsley — Owner · (423) 592-0422
NPI enumeratedOctober 21, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address163 Perkins Ln, Jacksboro, TN 37757-2833

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