Provider Demographics
NPI:1366734022
Name:NASH, JENNIFER S (PA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:NASH
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:6537 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4826
Practice Address - Country:US
Practice Address - Phone:865-558-9822
Practice Address - Fax:865-588-5305
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2016-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNPA0000001970363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical