JENNIE S CLARK (NPI# 1114910247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114910247 |
| Entity Type | Individual |
| Full Name | JENNIE S CLARK |
| Credential | PA C |
| Practice Address |
1940 Alcoa Hwy Suite E 180 Knoxville TN 37920-2244 |
| Mailing Address |
Po Box 440547 Nashville TN 37244-0547 |
| Practice Telephone | 8653056955 |
| Practice Fax Number | 8656375216 |
| Mailing Telephone | 8656706199 |
| Mailing Fax Number | 8656706188 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1120 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730535006 | Jennie Clark | Physical Therapist | 9216 Shawnee Trl, Brentwood, TN 37027-7415 | 2016-05-05 |
| Street Address |
1940 ALCOA HWY SUITE E 180 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830171 | William Jeremy Mahlow | Specialist | 1940 Alcoa Hwy, Suite E 310, Knoxville, TN 37920-2244 | 2005-06-09 |
| 1558876300 | Carolyn Hodges | Nurse Practitioner | 1940 Alcoa Hwy, Knoxville, TN 37920-2244 | 2017-12-01 |
| 1124552989 | Kari Michelle Self | Nurse Practitioner | 1940 Alcoa Hwy, Ste E310, Knoxville, TN 37920-2244 | 2017-04-18 |
| 1992247530 | Grant Anthony Partin | Nurse Practitioner | 1940 Alcoa Hwy, E260, Knoxville, TN 37920-2244 | 2016-11-14 |
| 1033567813 | Sarah K Roach | Physician Assistant | 1940 Alcoa Hwy, E210, Knoxville, TN 37920-2244 | 2016-06-02 |
| 1053777169 | Knoxville Omnicare Pllc | Family Medicine | 1940 Alcoa Hwy, E40, Knoxville, TN 37920-2244 | 2016-01-05 |
| 1417328543 | John R Carder Md PC | Emergency Medicine | 1940 Alcoa Hwy, E40, Knoxville, TN 37920-2244 | 2015-10-15 |
| 1740664986 | University Health System, Inc | Preventive Medicine | 1940 Alcoa Hwy, Ste E40, Knoxville, TN 37920-2244 | 2015-07-17 |
| 1851771430 | Amanda Ergen | Nurse Practitioner | 1940 Alcoa Hwy, Building E Suite-120, Knoxville, TN 37920-2244 | 2015-06-09 |
| 1801293436 | Jodie Schneitman | Nurse Practitioner | 1940 Alcoa Hwy, Suite E 310, Knoxville, TN 37920-2244 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932450301 | Martha Pamela Guel | Physician Assistant | 2681 Honey Hill Rd, Knoxville, TN 37924-1159 | 2012-09-26 |
| 1952498420 | Charles Phillip Brandt | Physician Assistant | 101 E Blount Ave Ste 800, Knoxville, TN 37920-1669 | 2006-10-06 |
| 1184694713 | Melissa S Napier | Physician Assistant | 4713 Papermill Dr Ste 100, Knoxville, TN 37909-1924 | 2006-01-25 |
| 1407329923 | Sara Kaniper | Physician Assistant | 10810 Parkside Dr Ste 208, Knoxville, TN 37934-1981 | 2019-01-08 |
| 1689126096 | Lauren Wicker | Physician Assistant | 9125 Cross Park Dr, Suite 200, Knoxville, TN 37923-4564 | 2016-11-02 |
| 1952793135 | Mary Kathryn Massaro | Physician Assistant | 1934 Alcoa Hwy, Ste 362, Knoxville, TN 37920-1524 | 2015-02-25 |
| 1518239474 | Brian S. Powell | Physician Assistant | 1932 Alcoa Hwy Ste 360, Knoxville, TN 37920-1509 | 2012-02-07 |
| 1902128812 | Stephanie Kelley Lezatte | Physician Assistant | 1932 Alcoa Hwy, Building C Suite 255, Knoxville, TN 37920-1527 | 2010-02-18 |
| 1366764276 | Nicholas Mark Baloga | Physician Assistant | 1932 Alcoa Hwy, Ste 360, Knoxville, TN 37920-1509 | 2010-02-18 |
| 1871640722 | Steven L Zurlinden | Physician Assistant | 10810 Parkside Dr Ste 208, Knoxville, TN 37934-1981 | 2007-01-04 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on JENNIE S CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.