Mclendon, Jessica Anne
Mclendon, Jessica Anne is an individual health care provider with primary practice located at 979 E 3Rd St Suite C430, Chattanooga TN 37403-2136. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mclendon, Jessica Anne can be contacted via phone (423) 778-4900.Contact Information
Primary practice address
979 E 3Rd St Suite C430
Chattanooga TN 37403-2136
Phone: (423) 778-4900
Fax: (423) 778-4901
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 005734 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2801 | Tennessee |
Profile Details
NPI number | 1154659589 |
---|---|
LBN Legal business name | Mclendon, Jessica Anne |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 23rd, 2009 |
Last updated | Sep 29th, 2015 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154659589 | NPPES |
Tennessee | Other | 2801 | TENNESSEE STATE LICENSE |
Tennessee | Other | 005734 | TENNESSEE STATE LICENSE |
Tennessee | Other | 1089225 | TENNESSEE STATE LICENSE |
Tennessee | MEDICAID | Q014360 | TENNESSEE STATE LICENSE |
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