Walls, Jennie L.
Walls, Jennie L. is an individual health care provider with primary practice located at David Crockett High School Health Clinic 684 Old State Route 34, Jonesborough TN 37659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walls, Jennie L. can be contacted via phone (423) 753-0057.Contact Information
Primary practice address
David Crockett High School Health Clinic 684 Old State Route 34
Jonesborough TN 37659
Phone: (423) 753-0057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN5169 | Tennessee |
Profile Details
| NPI number | 1265517197 |
|---|---|
| LBN Legal business name | Walls, Jennie L. |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1265517197 | NPPES |
| Tennessee | Other | APN5169 | APN LICENSE |
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