Healthcare Provider Details

I. General information

NPI: 1225170160
Provider Name (Legal Business Name): JENNIFER LOUISE STEELE APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 SUGARFOOT WAY
PIGEON FORGE TN
37863-6204
US

IV. Provider business mailing address

119 SUGARFOOT WAY
PIGEON FORGE TN
37863-6204
US

V. Phone/Fax

Practice location:
  • Phone: 865-453-9045
  • Fax: 865-374-2160
Mailing address:
  • Phone: 865-453-9045
  • Fax: 865-374-2160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN7776
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: