Individual
DR. JEFFORY GLENN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 W CLINCH AVE, KOPPEL PLAZA, STE 420, KNOXVILLE, TN 37916-2219
(865) 522-0420
(865) 522-9068
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
014885
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510582
—
TN
01
—
4188709
BCBS
TN
Enumeration date
01/11/2006
Last updated
01/21/2014
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