Individual provider · Type 1 NPI

Jeffrey Neil Longenecker, PA-C

Surgical Physician Assistant · Athens, TN

NPI number 1609024140 Active

Practice location

1114 W Madison Ave
Athens, TN 37303-4150

Fax (423) 744-3495

Mailing address

5016 Lewis Rd
Mc Donald, TN 37353-4069

Other practice locations

  • 2400 Patterson St, Suite 300, Nashville, TN 37203-1562 · (615) 342-6300
  • 9400 Rhea County Hwy, Dayton, TN 37321-7922 · (423) 775-1121

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1655 (TN)
Medical Physician Assistant 363AM0700X1655 (TN)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

26 other providers at this address

About NPI 1609024140

Jeffrey Neil Longenecker, PA-C's National Provider Identifier is 1609024140, issued on Sep 8, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Athens, TN. The record was last updated on Mar 17, 2018.