Individual
JORDAN LINDSAY PENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1924 ALCOA HWY # U109, KNOXVILLE, TN 37920-1511
(865) 588-0880
(865) 637-5518
Mailing address
PO BOX 51947, KNOXVILLE, TN 37950-1947
(865) 305-9220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000211105
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
24960
TN
Other
Enumeration date
09/20/2018
Last updated
12/22/2020
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