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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIE S CLARK, PA C

Active

JENNIE S CLARK, PA C is a Surgical Physician Assistant healthcare provider located in KNOXVILLE, Tennessee. NPI 1114910247 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · KNOXVILLE, TN

Registration Details

NPI Number
1114910247
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2005 (20.931216405529 yrs)
Last Updated
Nov 20, 2023
Licenses
1120 (TN)
1120 (TN)

Practice Information

Address
1940 ALCOA HWY STE E260
KNOXVILLE, TN, 379202266
Browse TN providers · Browse ZIP 37920
Phone
8653056955
Fax
8653058238
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in KNOXVILLE, TN

Name Credential NPI
JODI ANN JANS PA C 1164415287
VICTOR G BRIDGES PAC 1760475891
MARK S CLEM PA-C 1417942657
MELISSA S NAPIER P.A. 1184694713
BRIAN M MURPHY P. A. 1720050933
ADAM PATRICK BUZZERD PA C 1083682579
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.