Individual
JENNA MARIE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
283 W BROADWAY BLVD, JEFFERSON CITY, TN 37760-2302
(865) 330-7425
(865) 246-2106
Mailing address
PO BOX 5777, MARYVILLE, TN 37802-5777
(865) 246-2104
(865) 246-2106
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24558
TN
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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