Organization
ADVANCED FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA R CHITTUM (FNP-BC)
(423) 919-9886
Entity
Organization
Contact information
Practice address
2210 HIGHWAY 63, CUMBERLAND GAP, TN 37724-4254
(423) 919-9886
(423) 919-9887
Mailing address
PO BOX 119, HARROGATE, TN 37752-0119
(423) 489-2300
(423) 919-9887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q052575
—
TN
Enumeration date
03/01/2021
Last updated
02/20/2026
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