Mclendon, Jessica Anne

Mclendon, Jessica Anne is an individual health care provider with primary practice located at 979 E 3Rd St Suite C430, Chattanooga TN 37403-2136. 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 / Physician Assistant is her primary health care specialty. Mclendon, Jessica Anne can be contacted via phone (423) 778-4900.

Contact Information

Primary practice address
979 E 3Rd St Suite C430 Chattanooga TN 37403-2136
Phone: (423) 778-4900
Fax: (423) 778-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005734 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2801 Tennessee

Profile Details

NPI number 1154659589
LBN Legal business name Mclendon, Jessica Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2009
Last updated Sep 29th, 2015 - about 11 years 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 1154659589 NPPES
Tennessee Other 2801 TENNESSEE STATE LICENSE
Tennessee Other 005734 TENNESSEE STATE LICENSE
Tennessee Other 1089225 TENNESSEE STATE LICENSE
Tennessee MEDICAID Q014360 TENNESSEE STATE LICENSE

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