Pernell, Jerry

Pernell, Jerry is an individual health care provider with primary practice located at 42 Dooley St , Crossville TN 38555-4055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Pernell, Jerry can be contacted via phone (931) 707-7117.

Contact Information

Primary practice address
42 Dooley St Crossville TN 38555-4055
Phone: (931) 707-7117
Fax: (888) 456-7965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000007811 Tennessee

Profile Details

NPI number 1548460447
LBN Legal business name Pernell, Jerry
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Oct 8th, 2013 - about 12 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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