Compton, Jennifer C
Compton, Jennifer C is an individual health care provider with primary practice located at 4848 Fort Henry Dr , Kingsport TN 37663-3347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Compton, Jennifer C can be contacted via phone (423) 857-2066.Contact Information
Primary practice address
4848 Fort Henry Dr
Kingsport TN 37663-3347
Phone: (423) 857-2066
Fax: (423) 857-2066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA0000000275 | Tennessee |
Profile Details
NPI number | 1467457341 |
---|---|
LBN Legal business name | Compton, Jennifer C |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Nov 29th, 2017 - about 8 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467457341 | NPPES |
Virginia | Other | 5645956 | VA MEDICAID |
Virginia | Other | 830342546 | VA MEDICAID |
Virginia | MEDICAID | 103I977037 | VA MEDICAID |
Virginia | Other | 080194591 | VA MEDICAID |
Virginia | Other | 246269 | VA MEDICAID |
Virginia | Other | 4059748 | VA MEDICAID |
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