Clark, Jennie S

Clark, Jennie S is an individual health care provider with primary practice located at 1940 Alcoa Hwy Ste E260 , Knoxville TN 37920-2266. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Clark, Jennie S can be contacted via phone (865) 305-6955.

Contact Information

Primary practice address
1940 Alcoa Hwy Ste E260 Knoxville TN 37920-2266
Phone: (865) 305-6955
Fax: (865) 305-8238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1120 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1120 Tennessee

Profile Details

NPI number 1114910247
LBN Legal business name Clark, Jennie S
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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