Individual
MRS. PRISCILLA AYODELE JENEBA CHOUKROUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
116462
IA
363A00000X
Physician Assistant
12924
TX
363A00000X
Physician Assistant
2712
SC
363AM0700X
Medical Physician Assistant
Primary
6774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2969PA
—
SC
Enumeration date
03/07/2017
Last updated
04/30/2026
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