Individual
JENNIFER WILLENE VENUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 BMH CANCER CTR, MARYVILLE, TN 37804-5922
(865) 977-1065
Mailing address
641 PATTERSON RD, WALLAND, TN 37886-2030
(865) 679-9389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29337
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068423
—
TN
Enumeration date
07/30/2021
Last updated
09/01/2021
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