Jack Monroe Visca
Jack Monroe Visca is a Physician Assistant in Crossville, Tennessee. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Tennessee.
- Years since qualifying
- 1
- Licensed in
- TN
- In the registry since
- 2026
- Specialties on file
- 2
Practice location Address checks out
49 Cleveland St Ste 350Crossville, TN 38555-2898
Phone: (931) 459-7720
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 421 S Main St, Crossville, TN 38555-5031 — (931) 484-9511
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 7121 (TN) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 7121 (TN) |
Record details
| NPI number | 1710829742 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 8, 2026 |
| Last updated in NPPES | May 4, 2026 |
| Certification date | May 4, 2026 |
| Mailing address | 7331 Cresthill Dr Apt E5, Knoxville, TN 37919-5918 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |