Individual
JENNIFER LEANN PRESCOTT
Active
Individual
JENNIFER LEANN PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
TN
363L00000X
Nurse Practitioner
Primary
40165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q108871
—
TN
Enumeration date
10/23/2025
Last updated
09/01/2026
Update your record
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