Individual
JENNIFER F AMBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 FORT SANDERS WEST BLVD STE 304, KNOXVILLE, TN 37922-3360
(865) 531-8848
(833) 908-2105
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q003822
—
TN
Enumeration date
06/25/2006
Last updated
10/12/2021
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