Individual
JENNIFER H LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
111 EPPERSON ST, ATHENS, TN 37303-3478
(423) 745-5955
Mailing address
280 FORT SANDERS WEST BLVD, STE 101, KNOXVILLE, TN 37922-3352
(423) 745-5955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TN
Other
Enumeration date
11/09/2012
Last updated
05/16/2016
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