Individual
MRS. JILL K DENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
131 S WEBB AVE, CROSSVILLE, TN 38555-8452
(931) 484-5379
(931) 484-5946
Mailing address
131 S WEBB AVE, CROSSVILLE, TN 38555-8452
(931) 484-5379
(931) 484-5946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000260
TN
363AM0700X
Medical Physician Assistant
Primary
PA260
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00260
STATE LICENSE
TN
01
—
12407183
CAQH
TN
05
—
1530022
—
TN
01
—
200006546
RAILROAD MEDICARE
TN
01
—
4084528
BCBS
TN
01
—
4342947
BCBS TENNESSEE
TN
05
—
Q000217
—
TN
Enumeration date
01/12/2007
Last updated
07/06/2016
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