Active NPI
Jacqueline Monique Terry, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 32710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32710 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Community Health, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Knoxville, TN
- NPI 1881024172
-
- Community/Behavioral Health Agency
- Oneida, TN
- NPI 1730464868
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oneida, TN
- NPI 1932646049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.