Individual
MRS. JENNIFER S EISENHOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1403 STATE ST, WHITE PINE, TN 37890-3175
(865) 674-6603
(865) 674-6695
Mailing address
407 4TH ST, NEWPORT, TN 37821-3755
(423) 623-6240
(423) 623-0102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000007214
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3928109
—
TN
Enumeration date
11/08/2006
Last updated
02/09/2024
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