Jennings, Jeffory Glenn

Jennings, Jeffory Glenn is an individual health care provider with primary practice located at 2100 W Clinch Ave Koppel Plaza, Ste 420, Knoxville TN 37916-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Jennings, Jeffory Glenn can be contacted via phone (865) 522-0420.

Contact Information

Primary practice address
2100 W Clinch Ave Koppel Plaza, Ste 420 Knoxville TN 37916-2219
Phone: (865) 522-0420
Fax: (865) 522-9068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 014885 Tennessee

Profile Details

NPI number 1598744336
LBN Legal business name Jennings, Jeffory Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 21st, 2014 - about 10 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 1598744336 NPPES
Tennessee Other 4188709 BCBS
Tennessee MEDICAID 1510582 BCBS

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