Pardue, Jeanann

Pardue, Jeanann is an individual health care provider with primary practice located at 2018 W Clinch Ave , Knoxville TN 37916-2301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pardue, Jeanann can be contacted via phone (865) 985-7012.

Contact Information

Primary practice address
2018 W Clinch Ave Knoxville TN 37916-2301
Phone: (865) 985-7012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD019327 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD019327 Tennessee

Profile Details

NPI number 1023053188
LBN Legal business name Pardue, Jeanann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1023053188 NPPES
Tennessee MEDICAID 3055911
Tennessee Other 3028620
Tennessee MEDICAID 64797160

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