# ADVANCED FAMILY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518551688
- **Authorized official:** JESSICA R CHITTUM (FNP-BC)
- **Authorized official phone:** (423) 919-9886

## Contact information

- **Practice address:** 2210 HIGHWAY 63, CUMBERLAND GAP, TN 37724-4254
- **Practice address phone:** (423) 919-9886
- **Practice address fax:** (423) 919-9887
- **Mailing address:** PO BOX 119, HARROGATE, TN 37752-0119
- **Mailing address phone:** (423) 489-2300
- **Mailing address fax:** (423) 919-9887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2021
- **Last updated:** 02/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q052575 | — | TN |