Individual
JENNIFER STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1855 TANNER WAY STE 200, HARRIMAN, TN 37748-8331
(865) 376-6272
(865) 374-2100
Mailing address
1855 TANNER WAY, HARRIMAN, TN 37748-8302
(865) 376-6272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-123950
IL
390200000X
Student in an Organized Health Care Education/Training Program
125-053128
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
833230
MEDICARE GROUP #
—
05
—
Q057477
—
TN
Enumeration date
06/04/2007
Last updated
04/28/2021
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