Dr Khairunnissa Jooma, DNP/PMHNP-BC/LPC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Knoxville, Tennessee. Her current practice location is
9041 Executive Park Dr Ste 275b, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 338-5384.
Dr Khairunnissa Jooma is licensed to practice in Tennessee (license number APN0000013348) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639102791.
Healthcare Provider's Profile
| Full Name | Dr Khairunnissa Jooma |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 9041 Executive Park Dr Ste 275b, Knoxville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Khairunnissa Jooma attended and graduated from in
NPI Data:
- NPI Number: 1639102791
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 12/06/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Khairunnissa Jooma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639102791 | NPI | - | NPPES |
| 5441854 | Medicaid | TN | |
| P00967911 | Other | TN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC 1953 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN0000013348 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Khairunnissa Jooma is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Khairunnissa Jooma, DNP/PMHNP-BC/LPC
91 Harbor Pointe Way,
Knoxville, TN 37922-5154
Ph: (865) 684-0900 | Dr Khairunnissa Jooma, DNP/PMHNP-BC/LPC
9041 Executive Park Dr Ste 275b,
Knoxville, TN 37923-4621
Ph: (865) 338-5384 |
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