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

Mycah Jack, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1396481693

Mycah Jack, FNP-BC is a Family Nurse Practitioner in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1930 Alcoa Hwy
Knoxville, TN 37920-1500
Phone: (865) 263-2400
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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 · Licence 31108 (TN)

Record details

NPI number1396481693
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022

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