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General NPI Number Information
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NPI Number | 1427288422
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Entity Type | Individual
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Provider Name | JENNIFER P FONTENOT DNP, APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2440 JULIAN DR NE
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City | CLEVELAND
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State | TN
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Zip | 37312-5433
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Country | US
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Telephone | 423-250-5551
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Fax | 423-648-1115
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Provider Business Mailing Address
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Address Line | 6145 SHALLOWFORD RD STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7808
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Country | US
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Telephone | 423-893-6890
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Fax | 423-648-1115
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 14281
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14281
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License Number State | TN
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