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General NPI Number Information
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NPI Number | 1154299006
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Entity Type | Individual
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Provider Name | JENNIFER LEANN PRESCOTT AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 3382 ANDERSONVILLE HWY
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City | ANDERSONVILLE
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State | TN
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Zip | 37705-3816
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Country | US
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Telephone | 865-228-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 8104 VILLA GRANDE LN
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City | KNOXVILLE
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State | TN
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Zip | 37938-7406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 40165
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License Number State | TN
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