Stire, Jennifer L.

Stire, Jennifer L. is an individual health care provider with primary practice located at 1319 Sunset Dr Ste 103 , Johnson City TN 37604-7901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Stire, Jennifer L. can be contacted via phone (423) 439-7246.

Contact Information

Primary practice address
1319 Sunset Dr Ste 103 Johnson City TN 37604-7901
Phone: (423) 439-7246
Fax: (423) 282-4698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP22025 Tennessee

Profile Details

NPI number 1912438706
LBN Legal business name Stire, Jennifer L.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Jan 29th, 2024 - about 8 months 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 1912438706 NPPES
Tennessee MEDICAID Q028004

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