MISS JENNY LYNN PHILLIPS (NPI# 1720174360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720174360 |
| Entity Type | Individual |
| Full Name | MISS JENNY LYNN PHILLIPS |
| Credential | PA |
| Practice Address |
1401 Carter Street Suite 102 Chattanooga TN 37402 |
| Practice Telephone | 4239333397 |
| Practice Fax Number | 4239333398 |
| Mailing Telephone | 4239333397 |
| Mailing Fax Number | 4239333398 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1299 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTHCARE | 0140208 | 01 |
| TN | 3663990 | 05 | |
| TN | JOHN DEERE | TN0101 | 01 |
| TN | RAILROAD MEDICARE | 970027904 | 01 |
| TN | BCBS OF TN | 2000307 | 01 |
| TN | WORKERS COMP | FP62706 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871988733 | Jenny Phillips | Licensed Practical Nurse | 602 Sw 38th St, Lawton, OK 73505-6912 | 2015-03-30 |
| 1073746939 | Jenny P Phillips | Registered Nurse | 2238 E. Ginter Road, Sunnyside Unified School District No. 12, Tucson, AZ 85706 | 2009-08-26 |
| 1124232988 | Jenny Phillips | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-10 |
| 1659413276 | Jenny Fay Phillips | Registered Nurse | 121 S Dixie Ave, Cookeville, TN 38501-3401 | 2007-02-12 |
| Street Address |
1401 CARTER STREET SUITE 102 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
| 1194719773 | Robin Anne Barron | Internal Medicine | 540 Mccallie Avenue, Suite 450, Chattanooga, TN 37402 | 2005-09-09 |
| Find all providers in zip 37402 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831356658 | Tiffany Hayes | Physician Assistant | 7405 Shallowford Rd Ste 320, Chattanooga, TN 37421-2662 | 2008-05-20 |
| 1588861421 | Stacy Lynn Mckinney | Physician Assistant | 1100 E. Third Street, Suite G-102, Chattanooga, TN 37403-2147 | 2007-07-02 |
| 1114986593 | Awilda Marrero Labonne | Physician Assistant | 400 N Market St Ste 114, Chattanooga, TN 37405-4449 | 2006-03-22 |
| 1366417776 | Maria C Wood | Physician Assistant | 2200 E 3rd St, Suite 100, Chattanooga, TN 37404-2744 | 2006-02-20 |
| 1093287955 | Leona Ruth Gulley | Physician Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-12-17 |
| 1871064113 | Meredith Mcdaniel | Physician Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-12-16 |
| 1336617778 | Beniamin Chitu | Physician Assistant | 2372 Lifestyle Way Ste 152, Chattanooga, TN 37421-4940 | 2018-11-04 |
| 1891261277 | Jamie Dillon | Physician Assistant | 103 Jordan Dr Ste 3, Chattanooga, TN 37421-6715 | 2018-10-23 |
| 1134604226 | Kaylee Christensen | Physician Assistant | 975 E 3rd St, Chattanooga, TN 37403 | 2018-09-25 |
| 1427565266 | Tiffany Richardson | Physician Assistant | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2018-01-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
Please comment or provide details below to improve the information on MISS JENNY LYNN PHILLIPS.
| 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.