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Individual

JENNIFER A COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
501 19TH ST., SUITE 401, KNOXVILLE, TN 37916-1839
(865) 331-2020
(865) 331-1976
Mailing address
501 19TH ST., SUITE 401, KNOXVILLE, TN 37916-1839
(865) 331-2020
(865) 331-1976

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
8095
TN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
128888
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q004379
TN
Enumeration date
11/16/2006
Last updated
12/08/2021
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