Mckenzie, Jennifer C

Mckenzie, Jennifer C is an individual health care provider with primary practice located at 1206 Highway 411 , Vonore TN 37885-2455. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mckenzie, Jennifer C can be contacted via phone (423) 442-2622.

Contact Information

Primary practice address
1206 Highway 411 Vonore TN 37885-2455
Phone: (423) 442-2622
Fax: (423) 442-5760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6837 Tennessee

Profile Details

NPI number 1245273796
LBN Legal business name Mckenzie, Jennifer C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 31st, 2021 - about 4 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 1245273796 NPPES
Tennessee Other 3070114 BLUE CROSS BLUE SHIELD #
Tennessee MEDICAID 3344266 BLUE CROSS BLUE SHIELD #
Tennessee MEDICAID 1507391 BLUE CROSS BLUE SHIELD #
Tennessee MEDICAID 3344267 BLUE CROSS BLUE SHIELD #

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