Individual
MS. JENNA LEE FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10215 KINGSTON PIKE STE 100, KNOXVILLE, TN 37922-3492
(865) 691-0733
(865) 541-1727
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2142
TN
363A00000X
Physician Assistant
TL 1618
SC
Other
Enumeration date
02/10/2011
Last updated
11/01/2019
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