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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
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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