Choukroun, Priscilla Ayodele Jeneba

Choukroun, Priscilla Ayodele Jeneba is an individual health care provider with primary practice located at 2018 Western Ave , Knoxville TN 37921-5718. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Choukroun, Priscilla Ayodele Jeneba can be contacted via phone (865) 544-0406.

Contact Information

Primary practice address
2018 Western Ave Knoxville TN 37921-5718
Phone: (865) 544-0406
Fax: (865) 544-0480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12924 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 116462 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2712 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6774 Tennessee

Profile Details

NPI number 1245770452
LBN Legal business name Choukroun, Priscilla Ayodele Jeneba
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2017
Last updated Apr 30th, 2026 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245770452 NPPES
South Carolina MEDICAID 2969PA

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