Individual
BEVERLY MICHELLE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
725 GLENWOOD DR, CHATTANOOGA, TN 37404-1163
(423) 697-0014
Mailing address
1111 CUMBERLAND RD, CHATTANOOGA, TN 37419-1005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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