Family Medicine, Addiction Medicine
BROKEN ARROW
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1720841042 · enumerated 2024-01-31 · record updated 2024-01-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CRISSY SHANK, Manager · (931) 761-5732
Other names: BROKEN ARROW LLC
Addresses and phones
- Mailing address 1009 E HIGHWAY 11 E, JEFFERSON CITY, TN, 37760-4910 (865) 935-0411 Google Maps Apple Maps OpenStreetMap
- Practice location 1009 E HIGHWAY 11 E, JEFFERSON CITY, TN, 37760-4910 (865) 935-0411 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Addiction Medicine 207QA0401X · Primary
In this directory
TN Jefferson County Jefferson City Family Medicine, Addiction Medicine
Locations and evidence
-
Practice location
JEFFERSON CITY, TN, 377604910
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.