Phillips, Jenny Lynn

Phillips, Jenny Lynn is an individual health care provider with primary practice located at 1401 Carter Street Suite 102 , Chattanooga TN 37402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Phillips, Jenny Lynn can be contacted via phone (423) 933-3397.

Contact Information

Primary practice address
1401 Carter Street Suite 102 Chattanooga TN 37402
Phone: (423) 933-3397
Fax: (423) 933-3398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1299 Tennessee

Profile Details

NPI number 1720174360
LBN Legal business name Phillips, Jenny Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 11th, 2018 - about 8 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 1720174360 NPPES
Tennessee Other 0140208 UNITED HEALTHCARE
Tennessee MEDICAID 3663990 UNITED HEALTHCARE
Tennessee Other 970027904 UNITED HEALTHCARE
Tennessee Other 2000307 UNITED HEALTHCARE
Tennessee Other TN0101 UNITED HEALTHCARE
Tennessee Other FP62706 UNITED HEALTHCARE

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