# MJ MENTAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1578348256
- **Authorized official:** JENNA FROST PMHNP (MBR)
- **Authorized official phone:** (865) 306-7672

## Contact information

- **Practice address:** 4611 ASHEVILLE HWY, KNOXVILLE, TN 37914-3615
- **Practice address phone:** (865) 246-2104
- **Practice address fax:** (865) 246-2106
- **Mailing address:** PO BOX 5777, MARYVILLE, TN 37802-5777
- **Mailing address phone:** (865) 246-2104
- **Mailing address fax:** (865) 246-2106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 08/30/2023