Bennett, Jessica Suzanne

Bennett, Jessica Suzanne is an individual health care provider with primary practice located at 1404 Tusculum Blvd Ste 2200 , Greeneville TN 37745-4395. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bennett, Jessica Suzanne can be contacted via phone (423) 783-5520.

Contact Information

Primary practice address
1404 Tusculum Blvd Ste 2200 Greeneville TN 37745-4395
Phone: (423) 783-5520
Fax: (423) 390-6985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2195 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2195 Tennessee

Profile Details

NPI number 1710239215
LBN Legal business name Bennett, Jessica Suzanne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2012
Last updated Dec 31st, 2025 - about last year

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 1710239215 NPPES
Tennessee MEDICAID Q000136
Tennessee Other P01160560
Tennessee Other 4344229

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