Individual provider · Type 1 NPI

Jennie S. Clark, PA C

Surgical Physician Assistant · Knoxville, TN

NPI number 1114910247 Active

Practice location

1940 Alcoa Hwy Ste E260
Knoxville, TN 37920-2266

Call (865) 305-6955 Map

Fax (865) 305-8238

Mailing address

PO Box 440547
Nashville, TN 37244-0547

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1120 (TN)
Surgical Physician Assistant Primary 363AS0400X1120 (TN)

Surgical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1114910247

Jennie S. Clark, PA C's National Provider Identifier is 1114910247, issued on Aug 24, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Knoxville, TN. The record was last updated on Nov 20, 2023.