Individual provider Active NPI

Jacqueline Monique Terry, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1831816545
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32710 Issued in TN
Practice address
4709 Papermill Dr
Knoxville, TN 37909-1921
Phone
(856) 525-0391
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32710 TN Primary

Addresses

Primary practice location

4709 Papermill Dr
Knoxville, TN 37909-1921

Mailing address

4709 Papermill Dr
Knoxville, TN 37909-1921
Phone (856) 525-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128001688 TN Practitioner - Nurse Practitioner 0648648550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Community Health, Inc.Group PAC ID 5799078804, 11 clinicians

Practice addresses (Care Compare)

4709 Papermill Dr
Suite 100
Knoxville, TN 37909-1928
Phone (865) 525-0391

Hospital & facility affiliations

  • Big South Fork Medical Center Hospital, Oneida, TN, CCN 441323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32710TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Community Health, Inc. CurrentSince Oct 31, 2022 Accepting new patients
The Solution Source, LLC. Past Accepting new patients

Locations

1401 Williams St
Ste 210
Chattanooga, TN 37408
Phone (423) 207-4712

2600 Executive Park NW
Cleveland, TN 37312
Phone (423) 458-4122

665 S Jefferson Ave
Cookeville, TN 38501
Phone (931) 528-0051

1365 Maley Hollow Rd
Dayton, TN 37321
Phone (314) 503-7015

615 W Main St
Ste 108
Greeneville, TN 37743

4709 Papermill Dr
Ste 100
Knoxville, TN 37909

103 Weakley Creek Rd
#B
Lawrenceburg, TN 38464
Phone (931) 766-1916

115 Winwood Dr
Ste 105
Lebanon, TN 37087
Phone (615) 444-4126

545 Brandies Cir
Murfreesboro, TN 37128
Phone (615) 295-2176

301 S Perimeter Park Dr
Ste 210
Nashville, TN 37211
Phone (615) 726-3603

256 S Bank St
Oneida, TN 37841

22510 Alberta St
Oneida, TN 37841
Phone (423) 215-9555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1831816545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 PAPERMILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091921",
            "telephone_number": "856-525-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 PAPERMILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091921",
            "telephone_number": "856-525-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JACQUELINE",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.